AP LICAT 0N FOR PERMI I N 0 DATE MY D HTER ANGELI EN] LE MITH Note: This application will be incomplete and rejected unless accompanied by a complete nancial statement, job history, lineage, and current medical report from your doctor. Please be prepared to submit additional information, like a psychological profile and polygraph test, as required. A ,. t a) . ,7 , , <_ M. NameilMDate ofBirth: (g/Ci Height: 5 (2 Weight: / 30 IQ??? GPA:~:-"2f> 'x. b 4 Social Security # Driver's License # Boy Scout rank: C/U 5 C 6:3 Qiw I ,, , a, 7) i Home Address: City/ State: iCIUvii'QVi 0% Zip: 7:371? 1/ How fast can you run 40 yards? 2 miles? Do you have a van? truck with oversized tires? waterbed?_Wnosering?::l3wllygbuttwon ring?___Tattoo?__ (If YES to any of these questiowscontinuerappcation and leave the premises.) On the back of this application, please answer the following 3 questions in 50 words or less: (1) What does LATE ean to ou? TiG-U 4 [63/ A r r [2) What does U N'T TOUCH MY DAUGH mean to you? bier/P CUMCCi gbf (10$ UK; [3) What does ABSTINE mean to you??:3 ) What Church do you attend? How often? mother, and minister? When would be the best time to interview your father, Answer by filling in the blanks; please answer freely. All answers will be confidential. (That means I wont tell anyone) ft . If l were shot, the last place on my body I would want to be wounded is the (/W x r ;l f If I were beaten, the last bone 1 would want broken is the V L W u r Awoman's place is in the OiWigiif/iixe/ fill/C LUCAXL P5 The one thing I hope this application does not ask me about is i/KQUU (383 j: AEZQWW C C? (Eln In the unfortunate event of my untimely death, I would like MEX? to be contacted. My greatest fear is i itrfjki g) 9 ,4 When I first meet a girl, the one thing I notice about her first is her glib 3 { Note: If the answer to the question begins with a B, discontinue and leave the premises - keeping Read low and running in a serpentine fashion.) What do you want to be IF you grow up? Aim/L; Wlifi (PA ,\ Wendi/ID . Have you ever been ngerprinted? fixes; Had a DNA sample taken and recorded? WC; w / Your dentist is: Emergency phone # b/t I swear that all information supplied above is true and correct to the best of my knowledge under penalty of death, dismemberment, Native American torture, crucixion, electrocution, Chinese water torture, and red hot pokers. I understand that by signing this application I might be put in unusual situations with large men carrying guns. I agree to any/ all terms as they are explained. Signatlire [that means sign your name) Please allow 46 years for processing. Please do not contact, if selected you will be contacted for further testing and questioning at an undetermined hunting camp.