Jerry Springer Show Apllication Form

[Goofyish]

JERRY SPRINGER APPLICATION FORM



Last name: ________________

First name: (Check appropriate box)
(_) Billy-Bob
(_) Billy-Joe
(_) Billy-Ray
(_) Billy-Sue
(_) Billy-Mae
(_) Billy-Jack

What does everyone call you?
(_) Booger
(_) Bubba
(_) Junior
(_) Sissy
(_) Other___________________

Age: ____ (if unsure, guess) _____ Not sure

Shoe Size: ____ Left ____ Right

Occupation: (Check appropriate box)
(_) Farmer
(_) Mechanic
(_) Hair Dresser
(_) Unemployed
(_) Dirty Politician
(_) Preacher
(_) Prostitute

Spouse's Name:_________________________
2nd Spouse's Name:______________________
3rd Spouse's Name:______________________
Lover's Name:___________________________

Relationship with spouse: (Check appropriate box)
(_) Sister
(_) Brother
(_) Aunt
(_) Uncle
(_) Cousin
(_) Mother
(_) Father
(_) Son
(_) Daughter
(_) Pet

Number of children living in household: _____
Number of children living in shed: ______
Number that are yours: ______
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 your pickup: 196_

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

Newspapers/magazines you subscribe to:
(_) The National Enquirer
(_) The Globe
(_) TV Guide
(_) Soap Opera Digest
(_) Rifle and Shotgun
Number of times you've seen a UFO:_____
Number of times in the last 5 years you've seen Elvis:_____
Number of times you've seen Elvis in a UFO:_____

How often do you bathe:
(_) Weekly
(_) Monthly
(_) Not Applicable

Colour of eyes:
Right_____ left_____

Colour of hair:
(_) Blond
(_) Black
(_) Red
(_) Brown
(_) White
(_) Clairol

Clour of teeth:
(_) Yellow
(_) Brownish-Yellow
(_) Brown
(_) Black
(_) N/A

Brand of chewing tobacco you prefer: ____________________

How far is your home from a paved road?
(_) 1 mile
(_) 2 miles
(_) Just a whoop-and-a-holler!
(_) road?

 

[neilybealy]

how true

 

[drennan]

Where do you get them from Tim, I've still got the copy of the Rhapsody one which I often look at to cheer myself up

This one is very true though, my DH can't stand the programme, he thinks they're all on a different planet

ttfn

 

[Olaf]

Tim,

I was so embarrassed when I read that you guys get that program over there. I honestly don't know where they find those people! I don't know anyone that like that!

 

[Madjock]

Very amusing Tim. Question is though who do they get to fill the application in for them

Annmarie

 

[kazzie]

Tim,

I've filled it in but you didn't put a posting address?

 

[Goofyish]

Kazzie - just a whoop-and-a-holler and wait for the pony express to arrive in a week or so

 

[2 Point]

Originally posted by Madjock
Very amusing Tim. Question is though who do they get to fill the application in for them

Annmarie

I presume the same people that fill their 'election' forms in !

 

[Madjock]

I presume the same people that fill their 'election' forms in !

That explains a lot

Annmarie

 

[Bwalker]

So, Tim, why did you want an application is the question

LOL

When will you hear back from them??

Aloha Stitch,
Lorraine

 

[Mrs Dazzle]

EXCELLENT!!

We've filled it in too, but DH and I's answers were a little too similar for good taste, I'd say

Bring em on.