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(REVOCABLE AT ANY TIME) NOTE – This application will be Incomplete and rejected unless accompanied by a complete financial statement, job history, lineage, and current medical report from your doctor. BOY SCOUT RANK:_______________________________________ 5. HOME ADDRESS: ________________CITY: _________ ZIP ______ 6. Yes____ No_______ If NO, explain: ________________________________ 7.

HEIGHT:___________ WEIGHT: ______IQ: ________GPA: ______ 3. SOCIAL SECURITY #: ___________DRIVERS LICENSE #: _________ 4.

Rule Four: I’m sure you’ve been told that in today’s world, sex without utilizing a “barrier method” of some kind can kill you.

Let me elaborate: When it comes to sex, I am the barrier, and I will kill you.

Clients discuss my form past relationships and how so many people see him doing anything makes you think.

Between taboo breaking and the curse of the scare anyone planning to go mindset.

If I were shot, the last place on my body I would want to be wounded is in the _____________ B.

When would be the best time to interview your father, mother, priest or pastor? Fill in the blanks: Please answer freely – all answers are confidential (That means I won’t tell anyone – I promise): A.

______________________________________________________________ ______________________________________________________________ REFERENCES SECTION: Church you attend ___________________________________________________ How often you attend ________________________________________________ When would be the best time to interview your: Father? __________________________ I SWEAR THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, INDIGENOUS AUSTRALIAN BULL ANT TORTURE, CRUCIFIXION, ELECTROCUTION, CHINESE WATER TORTURE and RED HOT POKERS _________________________________________________________ Applicant's Signature (that means sign your name, moron!

______________________________________________________________ ______________________________________________________________ In 50 words or less, what does 'ABSTINENCE' mean to you? _____________ SHORT-ANSWER SECTION: Answer by filling in the blank. A: If I were shot, the last place I would want shot would be: ______________________________________________________________ B: If I were beaten, the last bone I would want broken is my: ______________________________________________________________ C: A woman's place is in the: ______________________________________________________________ D: The one thing I hope this application does not ask me about is: ______________________________________________________________ E. _______________________________ ______________________________________________________________ ______________________________________________________________ F: When I meet a girl, the thing I always notice about her first is: ______________________________________________________________ G: What is the current going rate of a hotel room?

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