Redneck Driver's Application

Last 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

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Age: ____ (if unsure, guess)

Sex: [_]M  [_]F  [_]None

Shoe Size: ____ Left ____ Right

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Occupation: [_] Farmer [_] Waitress  [_] Mechanic [_] Dirty Politician [_] Hair Dresser

[_] Un-employed

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Spouse's Name: ____________________ 2nd Spouse's Name: __________________

3rd Spouse's Name: ________________ Lover's Name: _______________________

2nd Lover's Name: ___________________ Pets Name:_________________________

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Relationship with spouse:  [_] Sister [_] Aunt [_] Brother [_] Uncle [_] Mother [_] Father

[_] Son [_] Cousin [_] Daughter   [_] Pet

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Number of children living in household: ___

Number of children living in shed: ___

Number of children that are yours: ___

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Education: 1 2 3 4 (Circle highest grade completed)

If higher education what was your major? [_] 5th grade       [_] 6th grade

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Do you [_] Own [_] Rent your mobile home?

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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

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Firearms you own and where you keep them:

[_] truck [_] kitchen [_] bedroom [_] bathroom/outhouse [_] shed [_] pawnshop

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Model and year of your pickup: _______ 194_

Do you have a gun rack?

[_] Yes [_] No; If no, please explain:______________________________

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Newspapers/magazines you subscribe to:

[_] The National Enquirer [_] TV Guide [_] Soap Opera Digest [_] Bassmasters

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___ 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

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How far is your home from a paved road?

[_] 1 mile [_] 2 miles [_] don't know

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