Romantical Dating Application
Wanna Date me?
Just fill out this simple application!


DIsclaimer: No I dont' really require an application... but if you just just
can't help yourself, don't forget to hit the submit button. ;)
Application to Date Me
please fill out the below fields before you begin:

Before we get any further, if you agree with any of the following statements please deposit this application into one of the special bins labeled "GARBAGE" and disregard that I exist:
I have had  numerous STDs .
I owe more than $5,000 in back child support and risk incarceration.
I am unable to keep a job for longer than 4 weeks.
I am looking for a sugar-mama to support me.
I am married.
I do drugs, other than pharmacutical, on a regular basis.
I tend to be very controlling with women.
I think a woman should be barefoot & pregnant in the kitchen.



Now to the next section.
Congrats if you're still here.
Please check off the fields that apply to you:

Your Name:
Your E-Mail Address:
Your Location:
Your Height/Weight:
Number of Ex's you screwed over/cheated on/stalk:
On Our First Date You Take Me:

Little Children's Show
The Latest Horror Flick
A Romantic Dinner
Some Corny Krannert Show
My beauty intimidates you so we rent DVD's
You Enjoy Long Walks:

On The Beach
In The Snow
To Get Coffee
Down My Pants
It's my b-day (August11th for future reference) you buy me:

Concert Tickets
A Stack of CD's
A Dozen Roses
A car cause you're filthy rich
All of the above cause you're filthy stinking rich
Your Favorite Song:
You Want to Offer This Relationship:
Your Best Feature Is:
You Think My Best Feature Is:
You Think Utensil Orgies Are:
Theoretically, if you were to hurt me, how would you choose to die:

dumped in a vat of tar and feathered
have Moez snap all your limbs, rip out your spinal cord and use it as a coat hanger
have your dick cut off with a dull rusty butter knife and sewn into your mouth
See Above
Next of Kin:
Cemetery of Choice:
Funeral Home of Choice:
You Want To Date Me For:

My Fabulous Personality
My Cunning Style
My Sex Appeal
Wild Rampant Sex


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