REDNECK DRIVERS 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 >

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