APPLICATION TO DATE MY DAUGHTER
Name: Last___________First__________M.I.__________
Age:______Date of Birth:_________S.S.#____________
Address:__________________________________________
Parents:__________________ ______________________
1. Do you own a van? (If so, please discontinue
_________________ filling out form NOW)
2. In 50 words or less, describe what *no* means to you:
____________________________________________________
3. In 50 words or less, describe what *late* means to you:
____________________________________________________
4. Where would you least like to be shot?______________
5. Which is the last bone you want broken?_____________
6. What do you want to be IF you grow up?______________
7. What is my daughter's name?_________________________
8. Do you have any dental records?_____________________
If so, Dr's. name:_________________File #___________
9. Do you have any identifiable marks?_________________
10. How long can you tread water?_______________________
11. How long can you hold your breath?__________________
12. Are you claustrophobic or have any phobias?_________
13. How fast can you run the 100 yd dash?_______________
14. Do you think you could out-maneuver a full size truck?
____________________________________________________
15. Any server allergies (bee stings, ant bites, etc?___
16. How long do you think a person could live without
bloodflow to the brain?_____________________________
17. How you ever tried dialing 911 with your nose?______
18. Who, besides God, should you fear the most?_________
19. Do you have any last words?_________________________
Parental Use Only:
Appearance (looks like):
Cheech & Chong ____
Mike Tyson ____
Willie Nelson ____
Richie Cunningham ____
Status:
Accepted ____
Pending ____
No !@$#/&! way ____
> APPLICATION TO DATE MY DAUGHTER
>
> 1. Do you own a van? (If so, please discontinue
> _________________ filling out form NOW)
No, but I do own a cat.
> 2. In 50 words or less, describe what *no* means to you:
Yes please
> 3. In 50 words or less, describe what *late* means to you:
The point at which you collapse, due to lack of sleep and/or alcohol
consumption.
> 4. Where would you least like to be shot?______________
On Linthorpe road.
> 5. Which is the last bone you want broken?_____________
Little toe (it's of not much use for anything)
> 6. What do you want to be IF you grow up?______________
Ruler of the Infinite Expanse
> 7. What is my daughter's name?_________________________
Babe.
> 8. Do you have any dental records?_____________________
No. <Shows teeth>
> 9. Do you have any identifiable marks?_________________
Top marks scored in mathematics, physics and biology.
> 10. How long can you tread water?_______________________
Without aqualung, indefinitely.
> 11. How long can you hold your breath?__________________
About 2 minutes whilst snorkeling.
> 12. Are you claustrophobic or have any phobias?_________
None.
> 13. How fast can you run the 100 yd dash?_______________
100m in about 15 seconds :-(
> 14. Do you think you could out-maneuver a full size truck?
Easily.
> 15. Any server allergies (bee stings, ant bites, etc?___
Dislike Novell Netware.
> 16. How long do you think a person could live without
> bloodflow to the brain?_____________________________
About 3 minutes before permanent brain damage.
> 17. How you ever tried dialing 911 with your nose?______
No, but I've tried other positions.
> 18. Who, besides God, should you fear the most?_________
I fear no man (or deity).
> 19. Do you have any last words?_________________________
"So long, and thanks for all the fish"