Application to live in Kentucky
Name:__________________________ Nickname:_______________________________ CB Handle:_____________________ Address (RFD No.):_________________--___________________________________ Daddy (If unknown, list 3 suspects):____________________________________ Mamma:_________________________ Neck Shade: _____Light Red _____Medium Red _____Dark Red Number of teeth exposed in full grin: Upper_____ Lower_____ Name of Pickup owned:_______________ Height of Truck__________ Truck equipped with: ____Gun Rack ____4-Wheel Drive ____Confederate Flag ____Cassette Deck ____Load of Wood ____Hijacker Shocks ____Radar Detector ____Mag Wheels ____Dual CB Antennas ____Spittoon ____Camper Top ____Air Horns ____Mud Flaps ____Toothpick Holder ____Mud-Grip Tires ____Raccoon Hide ____Big Dog Number of empty beer cans on floorboard or in bed of pickup truck:_____ BUMPER STICKERS: ____Eat more Possum ____My other car is a piece of shit too ____Honk if you love Jesus ____If you ain't a cowboy you aint shit ____Redman Chewing Tobacco ____Guns Don't Kill People, I Do. Define the following (must be 90% correct): 1. Grits 6. Sawmill Gravy 11. Cobbler 16. Tater 2. Goobers 7. Turnip Salad 12. Fatback 17. Pig Skins 3. Pinto Beans 8. Shit-on-a-Shingle 13. Tote 18. Okrie 4. Collards 9. Redeye Gravy 14. Chickin' Fry19. Shonuf 5. Sidemeat 10. Soppin' Syrup 15. Poke 20. Chitlins Favorite Vocalist: ____Reba McEntire ____Conway Twitty ____Loretta Lynn ____Hank Williams Jr. ____Randy Travis ____Ray Wylie Hubbard ____Tammy Wynette ____Slim Whitman ____Porter Wagoner ____Willie Nelson ____George Jones ____Box Car Willie Favorite Recreation: ____Square Dancin' ____Possum Huntin' ____Skinny Dippin' ____Craw Daddin' ____Gospel Singin' ____4-Wheelin' ____Drankin' ____Spittin' Backy ____Bill Chip Throwin' ____Honky Tonkin' ____Noodlin' ____Other Name of Son(s): ____Bubba ____Jim Bob ____LeeRoy ____J.D. Name of Daughter(s): ____PammySue ____Violet ____Paulette ____Daisy Weapons Owned: ___Deer Rifle ___Sawed-Off Shotgun ___Varmint Rifle ___Log Cabin ___Tire Iron ___Power Chain Saw ___Pick Handle ___Hick'ry Switch Number of Dogs:____ Type: ___Blue Tick ___Beagle ___Black & Tan ___Bird Dawg Cap Emblem: ___John Deer ___McCullock Chain Saws ___Budweiser ___Vo-Tech ___Skoal ___Coors ___NAPA ___Smile if You're Not Wearing Underwear Number of Dependents: Legal:________ Claimed:_________ Number of Weeks Unemployed:__________ Number of Welfare Checks Received:____________ Memberships: ___FFA ___NRA ___Moose ___PTL Club ___AA ___BASS ___United Sons n' Daughters of the Confederacy ___John Birch Society Length of Right leg:________ Length of Left leg:__________ Does your truck contain some part painted the official state color of Primer Red? ___Yes ___No How many cars do you have jacked up on blocks in your front yard?_______ How many kitchen appliances will you keep on your front porch?__________ Will you wear mostly double-knit polyester pants with snags?____________ Do you own any shoes? ____Yes ____No If yes, how many?__________ What year did you last purchase shoes?_________________ Are you married to any of the following: ____Sister ____Cousin ____Sow Do you know her name?________________ Does your wife weigh more than your pickup?____________ Can you sign your name and get the spelling right every time?___________ Have you ever stayed sober for a whole weekend?________________ If so, why?_____________________________________________________________ Can you count: Past 10 with your shoes on?_________________ Do you know any words that have more than four letters?_________________ Have you ever had more than one bath in a week?_________________________ Medical Information: Do you have at least two of the following: ___BO ___Head Lice ___Rabies ___Trench Mouth ___Runny Nose ___Bad Breath
IF YOUR APPLICATION IS TURNED DOWN BY THE STATE OF KENTUCKY, YOU MAY BE ELIGIBLE IN THE STATE OF WEST ALABAMA. THEIR STANDARDS ARE SLIGHTLY LOWER. HOWEVER, YOU WOULD STILL BE ABLE TO VISIT KENTUCKY.