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Name__________________________
Address___________________________
Age_____
Phone Number_________
Social Security Number ______________
Hair Colour_____________Real? _________
Colour of Eyes ___________
Denutures? _______
Height ________Weight _______Waist Size ___________
Marital Status:Married_______Bra Size or Condom Size_____
Single______
Divorced______
Other______
Are Tits or Balls Real? ____
Do You like Them?:Carressed____Sucked______Chewed____Kissed___Squeezed___Licked___
All of the Above ____ Other____
Can You Stay Out Late?_____How Late? ______
All Night _____All Day ____Several Days____
Do You Like Sex?_____How Often?_____Do You Like Oral Sex _____
Todger or Pussy Size?Small_____Large _______Extra Large_______
While Having sex, Do You:
Fart___Cry___Moan____Hum____Yell____Scream_____ Whistle_____ Yodel______ Scratch_____
All of the Above______None of the Above_________
When You Orgasm, Do You:
Shake_____Twitch_____Wiggle____Wobble____Twist_____Jerk_____Scream_____Cry_____Faint_____
Or Just Start F**king Like Hell?______
What Kind of Sex Do You Like?
Fast_____Super Fast_____Slow______
All Night______How Many Times_______
Comments?____________________________
If You Have Had Sex Before, Give Two (2) References (not immediate family)
Name_____________________ Address __________________ Phone ___________
Name_____________________ Address __________________ Phone ___________
Tested for A.I.D.S.Yes__No__
Physician's Name_______________
If Your Application Is Accepted, What Are Your Charges If Any? For The:
Week_____Weekend____Day____Night____Hour____Half an Hour____Ten Minutes ____
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