Application to be a Redneck

First Name

Sex Male Female Undecided

Occupation Farmer Mechanic Waitress Poacher Politician Looking fer suitable werk

Spouse's Name
2nd Spouse's Name
3rd Spouse's Name
Lover's Name

Relationship With Spouse
Number of children living in household
Number of children living in shed
Number of children that are yours
Mother's Name
Father's Name(if not sure leave blank)

Vehicles you own and where you keep them

Total number of vehicles
Number of vehicles that still crank
Number of vehicles in frontyard
Number of vehicles in backyard
Number of vehicles on cement blocks

Firearms Section

Total number of firearms

Where do you keep them?
Truck Kitchen Bedroom Shed Bathroom Other

Do you own a gun rack

Model of your pick-up
Year

Where magazines do you read?
 Hickston Hawg National Enquirer The Globe Soap Opera Digest TV Guide Rod and Gun

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?

Number of teeth?

What color are they?
Yellow Yellow-Brown Green Greenish-Yellow Black NA

What brand of chew do you prefer?

How often do you bath??
Weekly Monthly Not Applicable

How far is your home from a paved road?
 1 mile 2 miles Don't know

Your e-mail