NOTE: This application will be incomplete and rejected unless accompanied by a complete financial statement, job history, driving record, lineage, and current certified medical report (including drug tests) from your doctor.

1. NAME _______________________________ DATE OF BIRTH ________________

2. HEIGHT ______________ WEIGHT __________ I.Q _______ G.P.A.____________

3. SOCIAL SECURITY # _____________ DRIVERS LICENSE # __________________

4. BOY SCOUT RANK____________________________________________________

5. HOME ADDRESS _________________ CITY/STATE ___________ ZIP __________

6. Do you have one MALE and one FEMALE parent? ___yes ___no

If No, EXPLAIN ______________________________________________________

7. Number of years your parents have been married ________________________________

8. Do you own a van? ______ A truck with oversized tires? ______
A waterbed? _________

Do you have an earring, nose ring, belly button ring,
or a tattoo? _____________________

(If "yes" to any of #8, discontinue application and leave premises)

9. In 50 words or less, what does "LATE" mean to you?

_______________________________________________________________________

10. In 50 words or less, what does "DON'T TOUCH MY DAUGHTER" mean to you?

_______________________________________________________________________

11. In 50 words or less, what does "ABSTINENCE" mean to you?

_______________________________________________________________________

12. Church you attend _____________
How often do you attend ______________________

13. When would be the best time to interview your father, mother
and priest/rabbi/minister? ____________________________________

14. Answer by filling in the blank: please answer freely. ALL answers are confidential
(That means I won't tell anyone -ever- I promise.)

a) If I were shot, the last place on my body I would want wounded is
______________________________________

b) If I were beaten, the last bone I would want broken is my
______________________________________

c) A woman's place is in the
______________________________________

d) The one thing I hope this application does not ask me about is
______________________________________

    e) When I first meet a girl, the first thing I notice about her is
      ______________________________________
      (NOTE: If your answer begins with "T" or "A", discontinue.
      Leave premises keeping your head low. Running in a serpentine fashion is advised.)

15. What do you want to be IF you grow up? ____________________________________

Please Review the Following
Ten Simple Rules for Dating My Daughter

Rule One:
If you pull into my driveway and honk you'd better be delivering a package, because you're sure not picking anything up.

Rule Two:
You do not touch my daughter in front of me. You may glance at her, so long as you do not peer at anything below her neck. If you cannot keep your eyes or hands off of my daughter's body, I will remove them.

Rule Three:
I am aware that it is considered fashionable for boys of your age to wear their trousers so loosely that they appear to be falling off their hips. Please don't take this as an insult, but you and all of your friends are complete idiots. Still, I want to be fair and open minded about this issue, so I propose his compromise: You may come to the door with your underwear showing and your pants ten sizes too big, and I will not object. However, in order to ensure that your clothes do not, in fact, come off during the course of your date with my daughter, I will take my electric nail gun and fasten your trousers securely in place to your waist.

Rule Four:
I'm sure you've been told that in today's world, sex without utilizing a "barrier method" of some kind can kill you. Let me elaborate, when it comes to sex, I am the barrier, and I will kill you.

Rule Five:
It is usually understood that in order for us to get to know each other, we should talk about sports, politics, and other issues of the day. Please do not do this. The only information I require from you is an indication of when you expect to have my daughter safely back at my house, and the only word I need from you on this subject is "early."

Rule Six:
I have no doubt you are a popular fellow, with many opportunities to date other girls. This is fine with me as long as it is okay with my daughter. Otherwise, once you have gone out with my little girl, you will continue to date no one but her until she is finished with you. If you make her cry, I will make you cry.

Rule Seven:
As you stand in my front hallway, waiting for my daughter to appear, and more than an hour goes by, do not sigh and fidget. If you want to be on time for the movie, you should not be dating. My daughter is putting on her makeup, a process that can take longer than painting the Golden Gate Bridge. Instead of just standing there, why don't you do something useful, like changing the oil in my car?

Rule Eight:
The following places are not appropriate for a date with my daughter: Places where there are beds, sofas, or anything softer than a wooden stool. Places where there are no parents, policemen, or nuns within eyesight. Places where there is darkness. Places where there is dancing, holding hands, or happiness. Places where the ambient temperature is warm enough to induce my daughter to wear shorts, tank tops, midriff T-shirts, or anything other than overalls, a sweater, and a goose down parka - zipped up to her throat. Movies with a strong romantic or sexual theme are to be avoided; movies which features chain saws are okay. Hockey games are okay. Old folks homes are better.

Rule Nine:
Do not lie to me. I may appear to be a potbellied, balding, middle-aged, dimwitted has-been. But on issues relating to my daughter, I am the all-knowing, merciless god of your universe. If I ask you where you are going and with whom, you have one chance to tell me the truth, the whole truth and nothing but the truth. I have a shotgun, a shovel, and five acres behind the house. Do not trifle with me.

Rule Ten:
Be afraid. Be very afraid. It takes very little for me to mistake the sound of your car in the driveway for a chopper coming in over a rice paddy near Hanoi. When my Agent Orange starts acting up, the voices in my head frequently tell me to clean the guns as I wait for you to bring my daughter home. As soon as you pull into the driveway you should exit your car with both hands in plain sight. Speak the perimeter password, announce in a clear voice that you have brought my daughter home safely and early, then return to your car - there is no need for you to come inside. The camouflaged face at the window is mine.

I SWEAR THAT I HAVE READ ALL THE RULES AND THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, NATIVE AMERICAN ANT TORTURE, ELECTROCUTION, CHINESE WATER TORTURE, AND RED HOT POKERS.

______________________________________________________________
Signature (That means sign your name)

Thank you for your interest. Please allow four to six years for processing. You will be notified in writing if you are approved. Please do not try to call or write. If you do attempt any communication before your application is approved, automatic disqualification will result.

If your application is rejected, you will be notified by two gentlemen wearing white ties and carrying violin cases (You might want to watch your back).