February 09, 2005
PARENT FACES ATTACHMENT
Steve,
My beautiful Lorien, age 12, came home today and informed me she has her first boyfriend.
So now �it has come to this..
love,
haku
APPLICATION FOR PERMISSION TO DATE DAUGHTER
NOTE: This application will be incomplete and rejected unless accompanied by a complete �financial statement, job history, copy of signed Teenager Driving �Contract when applicable, and current medical report from your doctor.
NAME: _______________________________________
DATE OF BIRTH: ________________________
HEIGHT: ________ ��WEIGHT: _________ ��
HAIR COLOR: �__________ �EYE COLOR: _________
BIRTHMARKS: _________________________________
IQ: _________ �GPA: �______________ �
SOCIAL SECURITY #: �_________________________
DRIVER'S LICENSE #: _________________________
BOY SCOUT RANK AND BADGES: __________________
_____________________________________________
_____________________________________________
SCHOOLS ATTENDED: ___________________________
_____________________________________________
_____________________________________________
EXTRACURRICULAR ACTIVITIES: _________________
_____________________________________________
_____________________________________________
HOME ADDRESS: _______________________________
_____________________________________________
CITY/STATE: _________________________________
___________________________ �ZIP: __________
TELEPHONE: _________________________________ ��
EMAIL: _____________________________________
Do you own a van? ____ A truck with oversized tires? ____
A waterbed? ____ A pickup with a mattress in the back? ____
A pager? _____
Do you have an ear ring, a nose ring, or a belly button ring? ____
A tattoo? ____
(IF YES TO ANY OF the ABOVE, DISCONTINUE APPLICATION AND LEAVE PREMISES.)
�In 50 words or less, what does 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 ABSTINENCE mean to you?
________________________________________________________
________________________________________________________
________________________________________________________
Church you attend: ________________________________________
How often you attend: _____________________________________
When would be the best time to interview your father, mother, and pastor? �______________
Answer by filing in the blank. Please answer freely. All answers are confidential (that means I won't tell anyone EVER).
A. If I were shot, the last place I would want to be shot would be _____________________
B. If I were beaten, the last bone I would want broken is my _________________________
C. The one thing I hope this application does not ask me about is ______________________
D. When I meet a girl, the first thing I notice about her is ____________________________
(IF ANSWER to D. BEGINS WITH "T" OR "A", �DISCONTINUE APPLICATION AND LEAVE PREMISES IMMEDIATELY.)
What do you want to do IF you grow up? ___________________
______________________________________________________
______________________________________________________
______________________________________________________
I SWEAR THAT ALL INFORMATION SUPPLIED ON THIS APPLICATION IS TRUE AND CORRECT TO THE �BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, ELECTROCUTION AND RED HOT �POKERS.
______________________________________
SIGNATURE �(that means your name)
Thank you for your interest. Please allow four to six years for processing. You will be �contacted in writing if you are approved. Please do not try to call or write. If your �application is rejected, you will be notified by two gentleman wearing white ties and �carrying violin cases.