Here is a nifty little application to fill out if you want a date with me. Please complete and submit with a photo for further consideration.
Please answer honestly. A background check will be run.
- Name:
- Date of birth:
- Address:
- Phone #:
- Do you own a car? If so, what make, model and year.
- Are you married?
- If so, does your wife know you are trying to get a date? Does she approve?
- Do you live alone? If not, with whom?
- How many teeth are you missing?
- Does beer or liquor replace any of your daily meals?
- How many children have you fathered?
- How many do you claim?
- How many do you actually support?
- Have you ever been arrested?
- Have you ever been convicted?
- Did you serve time in jail/prison?
- If so, were you ever someone's bitch?
- Did you enjoy being someone's bitch?
- Have you ever comitted any serious crimes that you were not arrested for, like murder?
- List any fetishes.
- List any other information that you think I should know.