Application to date my daughter
Name__________________________
Age_____
Address___________________________________
Church I attend_________________________________
I attend______ times per year (please attach document)
Parents names_____________________________________
Parents address________________________________________________
Parents phone number____________________
Number of years parents married_________
*Attach $100.00 deposit to be returned upon making curfew (If you do not have the deposit, please stop filling out this form)
Do you own a van?__________ (If yes, stop filling out this form)
Do you have a job?___________
Describe in 50 words or less what the word "No" means to you.________________________
___________________________________________________________________________
___________________________________________________________________________
Describe in 50 words or less what the word "late" means to you________________________
___________________________________________________________________________
___________________________________________________________________________
Where would you least like to be shot?___________________________________
What bone would you least like to have broken?___________________________
What would you like to be IF you grow up?_____________________________________
My fathers worst and best qualities are:_________________________________________
________________________________________________________________________
My mothers worst and best qualities are:________________________________________
________________________________________________________________________
Describe your family:_______________________________________________________
_________________________________________________________________________
I, the parent of the son, verify the truth of this application
______________________________________ Dated_____________________
Parents signature
_______________________________________Notary public Dated__________