APPLICATION FOR PERMISSION TO DATE MY DAUGHTER
 

This application will be considered incomplete and rejected unless accompanied by a complete     financial statement, job history, lineage, and current medical report from your doctor.
 

Name_____________________________________ Date of Birth__________________

Height__________ Weight_______________ I.Q.________________ GPA _________

SS#______________________ D.L.#_______________ Boy Scout Rank____________

Home Address (city/state/zip)
_________________________________________________

Do you have one Male and Female parent?_____ Number of years parents married_____
 

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 attendance_____________________________ How often? ____________________

When would be the best time to interview your mother, father and Bishop:
 

A.  The one thing I hope this application doesn't ask me about is________________________.

B.  When I first meet a girl, the thing I notice about her first is  _________________________.
.
F.  What do you want to be when you grow up ____________________________________.
 

                                                          Signature ____________________________________.
 

Thank you for your interest.  Please allow four to six years for processing.

You will be contacted in writing if you are approved.

Don’t call us, we’ll call you.
 

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