APPLICATION TO DATE OUR DAUGHTER
Place your Photo here.
Phone Number: ___________________________
S.S. Number: ___________________________
Boy Scout rank: ___________________________
Mother's name: ___________________________
Father's name: ___________________________
Do you own any of these items:
- muscle car or sports car
- tattoo-truck with oversized tires
- exotic pet, such as a snake
- electric guitar
[If you checked any of these items, discontinue application and leave immediately.]
4. Do you:
Do you smoke? Yes / No
Do you drink? Yes / No
Do you gamble? Yes / No
Have you ever been arrested? Yes / No
Do you ever drive over the speed limit? Yes / No
Have you ever seen Elvis? Yes / No
Have you ever seen a UFO? Yes / No
Have you ever seen Elvis in a UFO? Yes / No
[If you answered Yes to any of the preceeding questions, discontinue application and leave immediately.]
5. Preferred dating activity:
- Walk in the park
- Watch a School play
- Minature Golf 6.
In 50 words or less, tell exactly what the words "Don't be late" mean to you.
You must attach a complete police record and latest diploma or transcript.
- Your Signature
- Parents' signatures
- Police Chief's signature
[Please allow 4 to 6 years for processing. Any unanswered questions will result in forfeiture of application. Apply at your own risk.]