Application to Live in Arkansas

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*********** APPLICATION TO LIVE IN ARKANSAS ************

Name:___________________________________________________________ Nickname:_______________________ CB Handle:____________________

Address (RFD):__________________________________________________

Daddy (if unknown afix list of 3 suspects):_____________________

Neck size:__ [] Light Red [] Medium Red [] Dark Red [] Other

Number of teeth exposed in full grin:_____ Upper:____ Lower:___

Make of Pickup:_____________________ Tire Size:_________________

Hounds:_________ Type: [] Blue Tick [] Beagle [] Black and Tan Length of right leg:________ Length of left leg:_________ other:________

How many cars/makes in front yard? _____________________________ How many on blocks? ____________________________________________

How many kitchen appliances on front porch? ____________________ back porch? _____________________

When and where was your last "Elvis" sighting? _________________ ________________________________________________________________

Do you wear mostly polyester pants with snags? [] Yes [] No

Are you married to any of the following? (circle all that apply) -Sister -Cousin -Cousin's Sister -Other, Explain:____________________________________________________

Have you EVER had more than one bath a week? [] No [] Yes, Explain:___________________________________________

*Medical Information*

Do you have at least two (2) of the following: [] B.O. [] Lice [] Crabs [] Bad Breath [] Hoof in Mouth [] Scabs [] Fleas [] Infected Tatoos [] Crossed eyes [] Runny Nose [] Green Teeth [] Yellow Teeth [] Any Teeth [] Speach Impediment

*General Information*

Can you count past 20 without stripping? [] yes [] no [] never tried

Favorite Weapon: [] Tire Iron [] Pick Handle [] Log Chain [] Shotgun

Favorite Pastime: [] Drinkin' [] Coon Huntin' [] Fishin' [] Fuedin'[] Other

Truck equipped with: [] Gun Rack [] Fuzzbuster [] 8-Track [] Rebel Flag [] Roll Bar [] C.B. Radio [] Beer Cans [] Squirrel Tail [] Bull Horns

Favorite Vocalist: [] Elvis (the young Elvis) [] Elvis (the old Elvis) [] Elvis (dead)

Cap Emblems: [] John Deere [] CAT [] SKOAL [] Budweiser [] Bud Dry [] Jack Daniels [] Teamsters local

Merberships: [] NRA [] VFW [] KKK [] 700 Club [] B.P.O.E. [] Sine-aid Society

Do you vote? [] Yes [] No [] What's that?

Have you ever been in jail? [] Yes [] No [] Born there

Your Signature (one X will do):________________________Date:____

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smiley 6.4 PG

submitted: 1+ years ago

viewed: 7,192 times

categories: ethnic, race, international work, school

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by Megan H. 1+ years ago

This sounds more like mississippi than arkansas.

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C3HFA_Application to Live in Arkansas

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