NJFBOA - Home of New Jersey's Camaros and Firebirds - View Single Post

bencar · 11-11-2004, 08:18 AM

Okay, this isn't really an application to the Jerry Springer Show, but it sure could be

SPRINGER APPLICATION
Guest Application for The Jerry Springer Show

Personal information:

Name_______ Nickname_________ CB Handle_________

Yore Mama_________ Yore Daddy (if known)___________

Spouse's Name_________*

*Relationship to spouse: ___Sister __Brother __Mother __Father __Pet __Aunt __uncle

Occupation: __unemployed Mechanic ___Gun show Dealer __Slci nhead

Number of Children in Household__ Number that are yours__

Circle Highest Level of Education: 1 2 3 4
how Far is Your Mobile Home From a Paved Road: ___ 1 mi. ___5 mi.
___?

Number of Times You Have Survived a Tornado: __

Number of vehicles Owned__ Number on Cement Blocks__

Truck Equipment: __Gun Rack __Pit Bull __Spit Cup __Fuzzy Dice __Rebel

Flag__ Naked woman Mudflaps NWO and/or NRA sticker

Weapons Owned: ___Tire iron __Pick Handle ___Beer Bottle ___Shotgun

Number of Dogs Owned: __

Number of Homemade Tattoos____

Which of the Following Appliances are in your Front Yard:
___Frigerator____Heatin Stove ___Warsher ___TV ___Freezer

How Many of the Above Appliances work: __

Fav-o-rite Recreation: ___Drinkin ___Cow Chip Throwin

___Possum Huntin___Crawdad Huntin __Spittin Backy

__Scratchin __Watchin wrasslin

If You Can Read, which Magazines Do you Prefer: __soap opera Digest ___NWA ___Rifle and Shotgun ____NWA
___TV Guide ___National Enquirer __True confessions

SPRINGER APPLICATION
which stinks worse: __Hogpen __outhouse __Spouse

can you Spell Your Last Name:__Yup __Nope

can you Remember Your Last Name: __Yup __Nope
Have you Ever stayed sober for More Than one Day: __Yup __Nope

Do you Know Any words with More Than 4 Letters: __Yup __Nope

which is Correct: __"I seed Him" or __"I seen Him"

how Many cartons of cigarettes do you Smoke a Day? __

Math Test: how Many Food stamps do the Following Cost? __six Pack __ciggies __shotgun shells __Backy__ Prosti tute__

Number of Times You've seen: __a ufo __ Elvis__Elvis in a ufo

Health Questionaire: which of the Following do you Have? __Head Lice __B.o. __crabs __Runny Nose__Boils

Can you Remember the Last Time you Bathed? __Yup__Nope

Color of Teeth: __Yellow __Brown __Black __N/A

I hereby swear this is the trooth and sign my "x" on ___20_

page 2

Oh, and is there somethign wrong with Edison, the Applebees, or did I just pick a bad day to decide to simply drop by there, and maybe meet a few folks live and in person there

11-11-2004, 08:18 AM	#1
bencar Join Date: Aug 2004 Location: Near Menlo Park New Jersey Posts: 389 iTrader: (0)	Jerry Springer Show Guest Application Okay, this isn't really an application to the Jerry Springer Show, but it sure could be SPRINGER APPLICATION Guest Application for The Jerry Springer Show Personal information: Name_______ Nickname_________ CB Handle_________ Yore Mama_________ Yore Daddy (if known)___________ Spouse's Name_________* *Relationship to spouse: ___Sister __Brother __Mother __Father __Pet __Aunt __uncle Occupation: __unemployed Mechanic ___Gun show Dealer __Slci nhead Number of Children in Household__ Number that are yours__ Circle Highest Level of Education: 1 2 3 4 how Far is Your Mobile Home From a Paved Road: ___ 1 mi. ___5 mi. ___? Number of Times You Have Survived a Tornado: __ Number of vehicles Owned__ Number on Cement Blocks__ Truck Equipment: __Gun Rack __Pit Bull __Spit Cup __Fuzzy Dice __Rebel Flag__ Naked woman Mudflaps NWO and/or NRA sticker Weapons Owned: ___Tire iron __Pick Handle ___Beer Bottle ___Shotgun Number of Dogs Owned: __ Number of Homemade Tattoos____ Which of the Following Appliances are in your Front Yard: ___Frigerator____Heatin Stove ___Warsher ___TV ___Freezer How Many of the Above Appliances work: __ Fav-o-rite Recreation: ___Drinkin ___Cow Chip Throwin ___Possum Huntin___Crawdad Huntin __Spittin Backy __Scratchin __Watchin wrasslin If You Can Read, which Magazines Do you Prefer: __soap opera Digest ___NWA ___Rifle and Shotgun ____NWA ___TV Guide ___National Enquirer __True confessions SPRINGER APPLICATION which stinks worse: __Hogpen __outhouse __Spouse can you Spell Your Last Name:__Yup __Nope can you Remember Your Last Name: __Yup __Nope Have you Ever stayed sober for More Than one Day: __Yup __Nope Do you Know Any words with More Than 4 Letters: __Yup __Nope which is Correct: __"I seed Him" or __"I seen Him" how Many cartons of cigarettes do you Smoke a Day? __ Math Test: how Many Food stamps do the Following Cost? __six Pack __ciggies __shotgun shells __Backy__ Prosti tute__ Number of Times You've seen: __a ufo __ Elvis__Elvis in a ufo Health Questionaire: which of the Following do you Have? __Head Lice __B.o. __crabs __Runny Nose__Boils Can you Remember the Last Time you Bathed? __Yup__Nope Color of Teeth: __Yellow __Brown __Black __N/A I hereby swear this is the trooth and sign my "x" on ___20_ page 2 Oh, and is there somethign wrong with Edison, the Applebees, or did I just pick a bad day to decide to simply drop by there, and maybe meet a few folks live and in person there __________________ Ben Ben\'s 1976 Pontiac Trans Am Homepage Ben\'s Car Page Ben\'s Car Page 2