Redneck Driver's License Application

Last name: ________________
 (Check appropriate box)
 First 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 _____ Not sure
 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: _______________________(If not sure, leave blank)

 Education: 1 2 3 4 (Circle highest grade completed)

 Do you [_] own or [_] rent your mobile home? (Check appropriate box)

 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

 Number of firearms you own and where you keep them:
 ____ truck              ____ kitchen
 ____ bedroom            ____ bathroom
 ____ shed

 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

 ___ 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? ___
 Color of teeth:
 [_] Yellow              [_] Brownish-Yellow
 [_] Brown               [_] Black
 [_] N/A

 Brand of chewing tobacco you prefer:
 [_] Red-Man

 How far is your home from a paved road?
 [_] 1 mile
 [_] 2 miles
 [_] don't know


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Washington Apple Pi IFAQ
lic Thursday, November 6, 1997