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Application To Date My Daughter
Personal Information
Name:
Age:
Last, First, Middle
Address:
Street, City, State
Religion:
Church:
Times attended last year:
Wikipedia edit count:
Commons edit count:
Administrator?
Yes/No
Arbiter?
Yes/No
Founder?
Yes/No
Number of Sockpuppets:
Family Information
Father’s Name:
# Marriages:
# Years:
Address:
Mother’s Name:
# Marriages:
# Years:
Address:
Non-Optional Questions
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 Reliable 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