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Hillbilly Driver's License Application

Last Name:___________________

First Name:
­ Billy-Bob ­ Bobby-Sue ­ Billy-Joe
­ Bobby-Jo ­ Billy-Ray ­ Bobby-Ann
­ Billy-Sue ­  Bobby-Lee ­  Billy-Mae
­ Bobby-Ellen ­ Billy-Jack ­ Bobby-Beth Ann Sue

Age:____ if unsure, guess)

Sex: ­ Male ­ Female ­ Not sure

Shoe Size: ____ Left ____ Right

­ Farmer ­ Mechanic ­ Hair Dresser
­ Waitress ­ Unemployed ­ Dirty Politician

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 living in shed:____
Number that are yours: ____

Mother's Name:_____________
Father's Name:_____________ (if not sure, leave blank)

Education: 1 2 3 4 (circle 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:____

Number of Firearms you own and where you keep them:
­___truck ___ kitchen ___ bedroom
­___ bathroom ___ shed

Model and year of your pickup:___________ 194____

Do you have a gun rack? ­ Yes ­ No If no, please explain:

Newspaper/magazines you subscribe to:
­The National Enquirer­ The Globe ­TV Guide Soap Opera Digest ­Rifle & Shotgun

Number of times you've seen an UFO:
Number of times you've seen Elvis:
Number of times you've seen Elvis in an UFO:
How often do you bathe:
­ Weekly­ ­ Monthly  Not Applicable

Colour of Teeth:
­ Yellow ­ Brownish-Yellow ­ Brown ­ Black ­ Not Applicable

How many teeth do you have:____

Brand of chewing tobacco you prefer:­  Red-Man

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

Please sign (or cross) here:____________________