Red Neck Driver
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REDNECK DRIVERS LICENSE APPLICATION
Last name: ________________
(Check appropriate box) 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
Last name: ________________
(Check appropriate box) 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
