Redneck Driver's Liscense 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:      __________________________
   Spell S-P-O-U-S-E



   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       [_] Armed and Ready!

   ___ 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
   [_] What's a paved road?