GUEST APPLICATION FOR THE

 

Personal Information:


Name___________ Wut uthers calld you ______________

Can U Remember Ure Last Name?

___Yup ___Nope

Can You Spell Your Last Name?

___Yup ___Nope

CB Handle___________

Yore Mama's Name______________

Yore Daddy Name(if known)________________

Spouse's (husband or wife) Name_________________

Other Spouse ______ Dead Spouse ___________

Relationship to spouse:

___Sister ____Brother ____Mother ____Father ___Pet ___Aunt ___Uncle


Occupation:

___Unemployed / Mechanic ___Gun Dealer ___Hair Dresser

___Skinhead ___ Street Walker ____Waitress ___ Exotic Dancer


Number of Children in Household ___ Number of Children in the Shed ___

Do you know how many are yours? ___ Yup ___ Nope ____Don't Care


Circle Highest Level of Education: 1 2 3 4


How Far is Your Mobile Home from the nearest paved road:

___ 1mile __ 5 miles ___ more


Number of Times You Have Survived a Tornado: ___

Number of Vehicles Owned___How many trucks?___

How many in the front yard?___ How many in the Back Yard?___

How many run?___ How many on Cement Blocks?___ Do you have a gun rack in your truck? ___Yup ___Nope If Nope, why not?_______________


Truck Equipment: ___Gun Rack ___Pit Bull ___Spit Cup ___Fuzzy Dice ___Rebel Flag ___Naked Woman Mud flaps ___NRA sticker


Weapons Owned: ___Tire Iron ___Pick Handle ___Beer Bottle __Shotgun

Number of Dogs Owned: ___

Number of Homemade Tattoos: ___


Which of the Following Appliances are in your Front Yard?

___Friggerator ___Heatin Stove ___Warsher

___TV ___Freezer

How Many of the Above Appliances Work: ___


Fav-o-rite Recreation:

___Drinkin ___Cow Chip Throwin ___Possum Huntin ___Crawdad Huntin

___Spittin Backy ___Scratchin ___Watchin Wrasslin


If You Can Read, Which Magazines Do You Prefer:

___Soap Opera Digest ___Rifle and Shotgun ___NWA ___TV Guide ___National Enquirer ___True Confessions


Which Stinks Worse:

___Hogpen ___Outhouse ___Spouse



Have You Ever Stayed Sober for More Than

One Day: ___Yup ___Nope


Do You Know Any Words with More Than 4 Letters:

___Yup ___Nope

Can you count higher than the # of fingers you have left on your hands?

___Yup ___Nope

Which is Correct?:

___"I Seed Him" ___"I Did Seen Him" ____ "I don't know his name"


How Many Cartons of Cigarettes Do You Smoke a Day? ___


Math Test: How Many Food Stamps Do the Following Cost?

___Six Pack ___Ciggies ___Shotgun Shells ___Backy ___Prostitute


Number of Times You've Seen:

 ___A UFO ___ Elvis ___Elvis in a UFO


Health Questionnaire: Which of the Following Do You Have?

___Head Lice ___B.O. ___Crabs ___Runny Nose ___Boils


Can You Remember the Last Time You Bathed?

___Yup ___Nope


What color are your teeth? ___Yellow ___Brown ___Black ___N/A

Circle How many teeth you have 1 2 3 4 5 6 Nun

Fav-o-rite Recreation:
__ Drankin' __ Cow Chip Throwin' __ Possum Huntin' __ Crawdad Huntin'
__ Spittin' Backy __ Scratchin' __ Watchin Wrasslin'

I hereby swear this is the trooth and signd my "X" on   ______/________200__