Dating Application
Application to Date
My Daughter
Name: Last First M. Initial Age
Address: County
Religion: #Attendance's in the Last Year
Parents: Father's
Name #Marriages #Years
Address
Mother's Name #Marriages #Years
Address
1. Do you own or
drive a Van?
(If so Please Discontinue
Filling Out 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. The Place for a
WOMAN Is?
8. What is MY
Daughter's NAME?
9.Who besides GOD
Should YOU FEAR the most?
Parental Use Only:
Appearance Looks
Like: Status:
Mel Gibson Accepted:
David Letterman Rejected:
Pee‑Wee Herman
Pending: