APPLICATION
FOR PERMISSION
TO DATE MY DAUGHTER |
Courtesy of The Freeman
Institute
NOTE:
This application will be incomplete and rejected unless accompanied
by a complete
financial statement, history, lineage, recent FBI background
check, psychiatric
evaluation, and updated medical report from your doctor.
- NAME:_________________________________ DATE OF
BIRTH:____________________
- HEIGHT:___________
WEIGHT:____________ I.Q.__________ GPA____________
- SOCIAL
SECURITY#_________________________________________________________
DRIVERS LICENSE#___________________________
BOY SCOUT
RANK:______________
- HOME ADDRESS:____________________________________________________________
CITY/STATE_________________________________________
ZIP_________________
- Do you have one MALE and one FEMALE parent? yes?
_______ no? ________
- Number of years parents
married:_________________________________________
- Do you own a van? _________
A truck with oversized tires? ______________
A waterbed? _________ Tattoo? ____________ Wear your pants low?
_________
Do you have an earring, nose ring, or belly ring?
_______________________
(IF YES TO ANY OF THESE QUESTIONS, DISCONTINUE APPLICATION AND LEAVE THE PREMISES)
- In 50 words or less, what does DO NOT TOUCH MY
DAUGHTER MEAN TO YOU?
________________________________________________________________________
_________________________________________________________________________
- In 50 words or less, what does LATE mean to you?
_________________________________________________________________________
_________________________________________________________________________
- In 50 words or less, what does
ABSTINENCE mean to you? _________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
- Congregation you attend:_________________________________________________
How often do you attend?_________________________________________________
When would it the best time to interview your
father, mother, relatives, neighbors, minister/rabbi/priest, and past girlfriends?
(supply phone numbers) __________________________________________________
_________________________________________________________________________
_________________________________________________________________________
- What do you want to be IF you grow
up? __________________________________
ANSWER THESE SEMI-CONFIDENTIAL
QUESTIONS
BY FILLING IN THE BLANKS.
- "If I were shot, the last place on my body
I would want to be wounded is
________________________________________________________________________
- "If I were beaten, the last bone I would want
broken is my ______________
_________________________________________________________________________
- "A womans place is in the
______________________________________________
- "The one thing I hope this application does not
ask me about is _________
_________________________________________________________________________
- "When I first meet a girl, the thing I notice
about her is ______________
_________________________________________________________________________
(NOTE: If the answer to #E begins with
"T" or "A", discontinue and it is advised that you leave the premises
right now keeping your head low and running
in a serpentine fashion.)
I SWEAR
THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE, UNDER THE PENALTY OF A SLOW
DEATH, DISMEMBERMENT, "SOLDIER ANT" TORTURE, RED HOT POKERS DRIPPING WATER
TORTURE, AND ELECTROCUTION.
___________________________________________ ________________
SIGNATURE (That means your name, moron!)
Date
Thank
you for your interest in my daughter. Please allow four to six years for processing.
Dont call us, well call you. You will be contacted in writing if you are
approved. Do not try to call or write (since you probably cant, anyway). Any attempt
to make contact might cause you injury. If your application is rejected, two gentlemen
with violin cases and "one-size-fits-all" cement shoes will notify you.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
NOTE: A copy of this application was given to me
by a waitress
(can't remember her name) at a restaurant
(can't remember it either) in
Nashville.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The Freeman Institute
Black History Collection

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