Jerry Springer application form

Name:

Nickname: Age (if unsure, guess): Shoe size (Left/right): Occupation: Spouse's name: 2nd spouse's name: 3rd spouse's name: Lover's name: Relationship with spouse: Number of children living in household: Number of children living in shed: Number that are yours: Mother's name (if not sure, leave blank): Father's name (if not sure, leave blank): Relationship of father to mother before marriage: Education (select highest grade completed): 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: in truck in bedroom in bathroom in kitchen in shed unknown / lost / confiscated Year and model of your pickup: 196 Do you have a gun rack? If no, please explain: Number of times you've seen a UFO: Number of times you've seen Elvis: Number of times you've seen Elvis in a UFO: