| Application for Family Membership
Plez compleet this paper best ya kin and give it to someone at the reunion that might kin read. Last name: __________________________________ First name: [_] Billy-Bob [_] Christmas [_] Alonzo [_] Bobby-Jo [_] Jabber [_] Turk [_] Fuzz [_] Mahala [_] Cricket [_] Our Kathy [_] Other ______________________ Age: ____ (if unsure, guess) Sex: [_]M [_]F [_]None Shoe Size: ____ Left ____ Right Occupation: [_] Farmer [_] Mechanic [_] Hair Dresser [_] Waitress [_] Un-employed [_] Workman�s Comp. Spouse's Name: ________________2nd Spouse's Name: _____________________ 3rd Spouse's Name: __________________________ Lover's Name: __________________2nd Lover's Name: __________________________ Relationship with spouse: [_] Sister [_] Aunt [_] Brother [_] Uncle [_] Mother [_] Son [_] Father [_] Daughter [_] Cousin [_] Pet Number of children living in household: ___ Number of children that are yours:___ Mother's Name: _______________________ Father's Name: _______________________ Education: 1 2 3 4 (Circle highest grade completed) If you obtained a higher education what was your major? [_] 5th grade [_] Reform School [_] Kegs [_] Out behind the barn Do you [_] own or [_] rent your mobile home? 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 Firearms you own and where you keep them: ____ truck ____ kitchen ____ bedroom ____ bathroom/outhouse ____ pawnshop Model and year of your pickup: _________ 194_ Do you have a gun rack? [_] Yes [_] No; If no, please explain: Newspapers/magazines you subscribe to: [_] The National Enquirer [_] The Globe [_] TV Guide [_] Soap Opera Digest [_] Rifle and Shotgun [_] Bassmasters ___ 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 How often do you bathe: [_] Weekly [_] Monthly [_] Not Applicable How many teeth in YOUR mouth? ___ Color of teeth: [_] Yellow [_] Brownish-Yellow [_] Brown [_] Black [_] N/A Brand of chewing tobacco you prefer: [_] Red-Man [_] Skoal How far is your home from a paved road? [_] 1 mile [_] 2 miles [_] a far piece [_] don't know |