Google
application

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__________

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