REDNECK DRIVERS LICENSE APPLICATION

Last name: ________________

First name: (Check appropriate box)

[_] 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: __________________________

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 if applicable)

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

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

Do you have running water in your house?

[_] yes, but sometimes the kids aren't fast enough

[_] no, but the creek ain't too far

What catalog is the softest in the out-house?

[_] don't know how to read to well.

[_] don't matter it's free.

[_] use free advertisements sent in mail.

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