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Redneck Driver's Application
Plez compleet this paper, best ya can.
Last name: ________________
First
name:
[_] Billy-Bob [_] Bobby-Sue
[_] Billy-Joe [_] Bobby-Jo
[_] Billy-Ray [_]
Bobby-Ann
[_] Billy-Sue [_] Bobby-Lee
[_] Billy-Mae [_] Bobby-Ellen
[_] Billy-Jack
[_] Bobby-Beth Ann Sue
Age: ____ (if unsure, guess)
Sex: [_]M [_]F [_]None
Shoe Size: ____ Left ____ Right
Occupation:
[_]
Farmer [_] Mechanic
[_] Hair Dresser [_] Waitress
[_] Un-employed
[_] Dirty Politician
Spouse's Name: __________________________
2nd Spouse's Name: __________________________
3rd
Spouse's Name: __________________________
Lover's Name: __________________________
2nd
Lover's Name: __________________________
Relationship with spouse:
[_] Sister [_] Aunt
[_]
Brother [_] Uncle
[_] Mother [_] Son
[_] Father [_] Daughter
[_] Cousin
[_] Pet
Number of children living in household: ___
Number of children living in shed:
___
Number of children that are yours: ___
Mother's Name: _______________________
Father's
Name: _______________________
Education: 1 2 3 4 (Circle highest grade completed)
If you obtained a higher education
what was your
major?
[_] 5th grade [_] 6th grade
Do you [_] own or [_] rent your mobile
home?
Vehicles you own and where you keep them:
___ Total number of vehicles you own
___ Number of vehicles that
still crank
___ Number of vehicles in front yard
___ Number of vehicles in back yard
___ Number of vehicles on cement
blocks
Age you started drivin ______ (If over 10 are you
are still slow lerrnin ? [_] Yes [_] No)
Firearms
you own and where you keep them:
____ truck ____ kitchen
____ bedroom
____ bathroom/outhouse
____ shed ____ pawnshop
Model and year
of your pickup: _________ 194_
Do you have a gun rack?
[_] Yes [_] No; If no, please explain:
Newspapers/magazines
you subscribe to:
[_] The National Enquirer [_] The Globe
[_] TV Guide
[_] Soap Opera Digest
[_] Rifle and Shotgun [_] Bassmasters
___ Number
of times you've seen a UFO
___ Number of times you've seen Elvis
___ Number of times you've seen Elvis in a UFO
How
often do you bathe:
[_] Weekly
[_] Monthly
[_] Not Applicable
How many teeth in YOUR mouth? ___
Color of
teeth:
[_] Yellow [_] Brownish-Yellow
[_] Brown [_] Black
[_] N/A
Brand of chewing tobacco
you prefer:
[_] Red-Man [_] Skoal
How
far is your home from a paved road?
[_] 1 mile
[_] 2 miles
[_] don't know
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