Hillbilly Driver's License Application
Last Name:___________________

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

Age:____ if unsure, guess)

Sex: Ť Male Ť Female Ť Not sure

Shoe Size: ____ Left ____ Right

Occupation:
Ť Farmer Ť Mechanic Ť Hair Dresser
Ť Waitress Ť Unemployed Ť Dirty Politician

Spouse's Name:______________
2nd Spouse's Name:____________
3rd Spouse's Name:_____________
Lover's Name:______________
2nd Lover's Name:______________

Relationship with spouse:
Ť Sister Ť Aunt Ť Brother Ť Uncle
Ť Mother Ť Son Ť Father Ť Daughter
Ť Cousin Ť 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 Ť own or Ť 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? Ť Yes Ť No If no, please explain:

Newspaper/magazines you subscribe to:
ŤThe National Enquirer ŤThe Globe ŤTV Guide Soap Opera Digest ŤRifle & 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:
Ť Weekly Ť Monthly Ť Not Applicable

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

How many teeth do you have:____

Brand of chewing tobacco you prefer: Ť Red-Man

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

Please sign (or cross) here:____________________