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"