02
Nov

Redneck Drivers License 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



Spouses Name: __________________________

2nd Spouses Name: __________________________

3rd Spouses Name: __________________________

Lovers Name: __________________________

2nd Lovers 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: ___



Mothers Name: _______________________

Fathers 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 youve seen a UFO

___ Number of times youve seen Elvis

___ Number of times youve 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

[_] dont know

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