Kinda Long but worth it.......................The Jerry Springer Show application.?

Last name: ________________

First name: (Check appropriate box)

(_) Billy-Bob

(_) Billy-Joe

(_) Billy-Ray

(_) Billy-Sue

(_) Billy-Mae

(_) Billy-Jack

What does everyone call you?

(_) Booger

(_) Bubba

(_) Junior

(_) Sissy

(_) Other___________________

Age: ____ (if unsure, guess) _____ Not sure

Shoe Size: ____ Left ____ Right

Occupation: (Check appropriate box)

(_) Farmer

(_) Mechanic

(_) Hair Dresser

(_) Unemployed

(_) Dirty Politician

(_) Preacher

Spouse's Name: _________________________

2nd Spouse's Name: ______________________

3rd Spouse's Name: ______________________

Lover's Name: ___________________________

Relationship with spouse: (Check appropriate box)

(_) Sister

(_) Brother

(_) Aunt

(_) Uncle

(_) Cousin

(_) Mother

(_) Father

(_) Son

(_) Daughter

(_) Pet

Number of children living in household: _____

Number of children living in shed: ______

Number that are yours: ______

Mother's Name: _______________________ (If not sure, leave blank)

Father's Name: _______________________ (If not sure, leave blank)

Education:

1 2 3 4 (Circle highest grade completed)

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: ___

Number of firearms you own and where you keep them:

____ truck

____ bedroom

____ bathroom

____ kitchen

____ shed

Model and year of your pickup: 196_

Do you have a gun rack?

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 in the last 5 years you've seen Elvis: _____

Number of times you've seen Elvis in a UFO: _____

How often do you bathe?

(_) Weekly

(_) Monthly

(_) Not Applicable

Color of eyes:

Right_____ left_____

Color of hair:

(_) Blond

(_) Black

(_) Red

(_) Brown

(_) White

(_) Clairol

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

(_) Just a whoop-and-a-holler!

(_) Road?

Kinda Long but worth it.......................The Jerry Springer Show application.?

Good joke, made me smile.

Kinda Long but worth it.......................The Jerry Springer Show application.?

yeah right..i don't understand..yet this made me laugh....a bit.