Red neck driver's license

(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

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