Application dating my daughter pdf

Arkansas Vital Records has birth records dating from February 1, 1914 through the present.There are a limited number of birth records available prior to 1914.Ensuring that your application is completed as thoroughly as possible will help us process it without delay.

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

___________________________________________ Signature (that means sign your name) Thank you for your interest. You will be contacted in writing if you are approved. If your application is rejected, you will be notified by two gentleman wearing white ties carrying violin cases (you might watch your back).

__________ If NO, explain________________________________________________________ Number of years married________ If less than your age, Explain________ ________________________________________________________________ Do you own a van? Leaving premises keeping your head low and running in a serpentine fashion is advised. _______________________ Condoms come in packages of A: 3 B: 6 C: 9 D: 12 E: ALL OF THE ABOVE (circle one) I SWEAR THAT ALL INFORMATION SUPPLIED ABOVE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF DEATH, DISMEMBERMENT, NATIVE AMERICAN ANT TORTURE, CRUCIFIXION, ELECTROCUTION, CHINESE WATER TORTURE AND RED HOT POKERS.

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.

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