User:Rlevse/Application to date my daughter

Application To Date My Daughter

Name: ____________________________________________________ Age: _____

Last First Middle

Address: ____________________________________________________________

Street City State

Religion: _________ Church: ______________ Times attended last year: _____

Wikipedia edit count: ________ Commons edit count: ________

Admin? __Yes__/__No__ Arbiter? __Yes__/__No__ Founder? __Yes__/__No__

Family Information

Father’s Name: ___________________________ # Marriages: _____ #Years_____

Address: ____________________________________________________________

Mother’s Name: ___________________________ # Marriages: _____ #Years_____

Address: ____________________________________________________________

1. Do you own or drive a "van"? Yes/No (If yes, disregard the remainder of this form)

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. Complete this sentence: “A woman’s place is _______________________”

8. What is my daughter’s name? ________________________________________

9. Who, besides God, should you fear most? ____________________________

10. List Three References: ____________________________________________

• Parent’s name:
• Phone:
• Daughter’s name:
• Reason:
• Eligible to redate?

• Relationship ended____________________________________________________

Special Note: If accepted, there is a $50 deposit per date. Forfeited if her return is even 1 minute late. If over 30 minutes late, refer to question #5.

Dad’s Use Only

Looks Like - Status:

Brad Pitt - No Way

David Letterman - Rejected

Pee Wee Herman - Maybe