Questionnaire for dating my daughter interracial dating still an issue

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If I were shot, the last place on my body I would want to be wounded is in the _____________ B.

When would be the best time to interview your father, mother, priest or pastor? Fill in the blanks: Please answer freely – all answers are confidential (That means I won’t tell anyone – I promise): A.

APPLICATION FOR PERMISSION TO DATE MY DAUGHTER NOTE: This application will be incomplete and rejected unless accompanied by a complete financial statement, job history, lineage, and current medical report from your doctor. ) _______________________________ ________________________________ Mother's Signature Father's Signature _______________________________ ________________________________ Pastor/Priest/Rabbi State Representative/Congressman Thank you for your interest, and it had better be genuine and non-sexual. You will be contacted in writing if you are approved.

NAME_____________________________________ DATE OF BIRTH_____________ HEIGHT___________ WEIGHT____________ IQ__________ GPA_____________ SOCIAL SECURITY #_________________ DRIVERS LICENSE #________________ BOY SCOUT RANK AND BADGES____________________________________________ HOME ADDRESS_______________________ CITY/STATE___________ ZIP______ Do you have parents? ___Yes ___No If No, explain: ______________________________________________________________ Number of years they have been married ______________________________ If less than your age, explain ______________________________________________________________ ______________________________________________________________ ACCESSORIES SECTION: A. Please do not try to call or write (since you probably can't, and it would cause you injury).

(supply phone numbers) __________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Thank you for your interest in my daughter. Do not try to call or write (since you probably can’t, anyway).

Any attempt to make contact might cause you injury.

NAME_______________________________________ ALIASES ______________DATE OF BIRTH_____________ HEIGHT___________ WEIGHT____________IQ__________ GPA______________ SOCIAL SECURITY#________________DRIVERS LICENSE #________________ IQ _________ BLOOD TYPE _____BOY SCOUT RANK AND BADGES________________________________________HOME ADDRESS_______________________ CITY/STATE___________ ZIP______Do you have parents? Rule One: If you talk with foul words and dress like a bad ass, a punk or a wanna-be-gangster I will toss you right out on your tush. If your application is rejected you will be notified by two angels wearing red suits and carrying pitch forks. ___ (IF YES TO ANY PART OF #8, DISCONTINUE APPLICATION AND LEAVE PREMISES IMMEDIATELY) 9. Please do not try to call or write (this action will void this application).(REVOCABLE AT ANY TIME) NOTE – This application will be Incomplete and rejected unless accompanied by a complete financial statement, job history, lineage, and current medical report from your doctor. BOY SCOUT RANK:_______________________________________ 5. HOME ADDRESS: ________________CITY: _________ ZIP ______ 6. Yes____ No_______ If NO, explain: ________________________________ 7. HEIGHT:___________ WEIGHT: ______IQ: ________GPA: ______ 3. SOCIAL SECURITY #: ___________DRIVERS LICENSE #: _________ 4.

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