Application for a Date with a Sailor
(please print.)

NAME in full (first)_____________ (Middle)_____________ (Last)_______________
Date of Birth____________________ Age______________
Tel. no.______________Address_________________________
Height___________ Weight____________ Color_Hair__________
Size of stockings_____________ Color_Preference____________
Figure (check one) ___good ____fair _____poor ____hurtin' ____pig _____please
When intoxicated, what do you do?__________________________
Do you like it?_________ Would you try anything once?________
Twice?_____ Would you with me?______ 
Do you have a sister?______ Old enough to take your place in case you should be ill?__________
brothers?______ How many?______ Are they boxers?______
Do you believe in:  Kissing?________ Hugging?_______
OTHER (Explain)_________________