Lorain County Free-Net Teen Chapel - Application for Permission to Date My Daughter

Application for Permission to Date My Daughter
NOTE: This application will be incomplete and rejected unless accompanied by a
complete financial statement, lineage history and current medical report from
a doctor of my choosing.
Name_______________________________________ Date of Birth_______________

Height________ Weight_______ IQ__________ GPA_________

Social Security # __________________ Sunday School Attended __________________

Do you have one MALE and and FEMALE parent?______ If "no," explain on the back.

Number of years parents married?___ Any brothers/sisters?_____ Are they normal?____

Do you own or have access to a van____, a truck wtth oversized tires___, a waterbed?___

Do you have an ear ring, nose ring, or belly button ring? ___ A tatoo?______

(If yes to any of these, discontinue application and leave premises immediately)

In 50 Words or Less, what does the word "LATE" mean to you?

In 50 words or less, what does "Don't touch my daughter mean to you?

In 50 words or less, what does the word "No" mean to you?

In 50 words or less, give your definition of "Real Pain."

Church you attend_____________________ How often do you attend? S, M, W, T, F, S

When would be a good time to interview your mother, father and minister?

Please fill in the blanks:

A) If I were shot, the last place on my body I would want wounded would be my ______

B) If I were beaten, the last bone I would want broken would be my ________________

C) A woman's place is in the _____________

D) The one thing I hope this application doesn't ask is ___________________________

E) When I meet a girl, the one thing I always notice first is her _____________________

(If the answer in "E" involves a body part, leave the premises now keeping your head low,
and running in a serpentine fashion.)

F) What do you want to be IF you grow up?__________________________________

I swear that all of the above information is correct to the best of my knowledge under
penalty of death, bodily harm, dismemberment, torture or mental abuse.

____________________________
Signature of Applicant
____________________________
Signature of Father
____________________________
Signature of Mother
____________________________
Signature of Minister
____________________________
Signature of State Representative
==========================
POLICE USE ONLY
Subcutaneous Electronic Tracking
Device Number
____________
==========================

Thank you for your interest. Please allow 4 - 6 weeks for processing. You will be
contacted in writing if approved. If denied, please never apply again. Don't call me;
I'll call you.

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