Wholistic Fitness

PARENT FACES ATTACHMENT

Steve,

My beautiful Lorien, age 12, came home today and informed me she has her first boyfriend.

So now �it has come to this..

love,

haku

APPLICATION FOR PERMISSION TO DATE DAUGHTER

NOTE: This application will be incomplete and rejected unless accompanied by a complete �financial statement, job history, copy of signed Teenager Driving �Contract when applicable, and current medical report from your doctor.

NAME: _______________________________________

DATE OF BIRTH: ________________________

HEIGHT: ________ ��WEIGHT: _________ ��

HAIR COLOR: �__________ �EYE COLOR: _________

BIRTHMARKS: _________________________________

IQ: _________ �GPA: �______________ �

SOCIAL SECURITY #: �_________________________

DRIVER’S LICENSE #: _________________________

BOY SCOUT RANK AND BADGES: __________________

_____________________________________________

_____________________________________________

SCHOOLS ATTENDED: ___________________________

_____________________________________________

_____________________________________________

EXTRACURRICULAR ACTIVITIES: _________________

_____________________________________________

_____________________________________________

HOME ADDRESS: _______________________________

_____________________________________________

CITY/STATE: _________________________________

___________________________ �ZIP: __________

TELEPHONE: _________________________________ ��

EMAIL: _____________________________________

Do you own a van? ____ A truck with oversized tires? ____

A waterbed? ____ A pickup with a mattress in the back? ____

A pager? _____

Do you have an ear ring, a nose ring, or a belly button ring? ____

A tattoo? ____

(IF YES TO ANY OF the ABOVE, DISCONTINUE APPLICATION AND LEAVE PREMISES.)

�In 50 words or less, what does LATE mean to you? __________

________________________________________________________

________________________________________________________

In 50 words or less, what does DON’T TOUCH MY DAUGHTER mean to you?

________________________________________________________

________________________________________________________

________________________________________________________

In 50 words or less, what does ABSTINENCE mean to you?

________________________________________________________

________________________________________________________

________________________________________________________

Church you attend: ________________________________________

How often you attend: _____________________________________

When would be the best time to interview your father, mother, and pastor? �______________

Answer by filing in the blank. Please answer freely. All answers are confidential (that means I won’t tell anyone EVER).

A. If I were shot, the last place I would want to be shot would be _____________________

B. If I were beaten, the last bone I would want broken is my _________________________

C. The one thing I hope this application does not ask me about is ______________________

D. When I meet a girl, the first thing I notice about her is ____________________________

(IF ANSWER to D. BEGINS WITH “T” OR “A”, �DISCONTINUE APPLICATION AND LEAVE PREMISES IMMEDIATELY.)

What do you want to do IF you grow up? ___________________

______________________________________________________

______________________________________________________

______________________________________________________

I SWEAR THAT ALL INFORMATION SUPPLIED ON THIS APPLICATION IS TRUE AND CORRECT TO THE �BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, ELECTROCUTION AND RED HOT �POKERS.

______________________________________

SIGNATURE �(that means your name)

Thank you for your interest. Please allow four to six years for processing. You will be �contacted in writing if you are approved. Please do not try to call or write. If your �application is rejected, you will be notified by two gentleman wearing white ties and �carrying violin cases.