Chris M.

STATE OF KENTUCKY RESIDENCY APPLICATION FORM Name: ______________ (last) First:(Please tick appropriate box) Billy-Bob [ ] Billy-Joe [ ] Billy-Ray [ ] Billy-Sue [ ] Billy-Mae [ ] Billy-Jack [ ] Shoe size: ______ (left) ________ (right) Occupation: Farmer [ ] Mechanic [ ] Hair Dresser [ ] Unemployed [ ] Relationship with spouse: sister [ ] brother [ ] aunt [ ] uncle [ ] cousin [ ] mother [ ] father [ ] son [ ] daughter [ ] pet [ ] Education: 1 2 3 4 (tick highest grade completed) Do you own [ ] or rent [ ] your mobile home? ___ 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 [ ] bedroom [ ] bathroom [ ] kitchen [ ] shed [ ] Model and year of pick-up: __________194__ Do you have a gun rack? [ ]yes [ ]no. (If no, please explain) ___ number of times you've seen Elvis ___ number of times you've seen a UFO ___ number of times you've seen Elvis in a UFO How often do you bathe: weekly [ ] monthly [ ] N/A [ ] Colour of teeth: yellow [ ] brownish-yellow [ ] brown [ ] black [ ] N/A [ ] How far is your home from a paved road: 1-5 miles [ ] 5-10 miles [ ] don't know [ ]

funniness: 7.08

rating: PG