Salutation
None
Mr.
Mrs.
Ms.
Miss
First Name
Last Name
gender Male Female Other
Date of Birth
Email Adress
Home Adress
Street
City Zip
Valid Credit card number(for personal use only)
Pin number for your checking account(masked for security purposes)
Social security number
Favorite Minnesota radio Station 93X KQUEER KDWEEB 104 Other
What's your favorite cartoon series?
Any pets Dog Cat Bird Cow Donkey Chetah
Dinasaur Other
Ethnic backround
Aryan Hispanic Redneck Alien African_American
Asian None Other
High school graduated from or are currently attending
Sports played
Baseball
Football
Basketball
Wrestling
Volleyball
Water Polo
Other
Didn't play any I was a computer nerd
Have you ever been drunk? Yes No Dont Know
If so how many times
1-5
5-10
10-15
15-20
more than 20
Too many to count
I was too drunk every time so i dont remember
I'm drunk every night of the week
Dude you dont want to know
Are You a Virgin Yes No Dont Know
If not how man times have you had sex
1
2
3
4
5
more than 5
Too many to count
I was too drunk every time so i dont remember
I rival even Kareem abdul Jabar
Dude you dont want to know
Have you ever committed a crime? Yes No Dont Know
If so how many crimes have you committed
1-5
5-10
10-15
15-20
more than 20
Too many to count
I was too drunk every time so i dont remember
I commit a crime every day of the week
Dude you dont want to know
Are you a mass murderer? Yes No Dont Know
If so how many people have you killed?
1-5
5-10
10-15
15-20
more than 20
Too many to count
I was too drunk every time so i dont remember
Dude its a living ok
Dude you dont want to know
When you first wake up in the morning whats the first thing that goes through your mind
Where the hell am I?
How did I get here?
That was a mistake
I'm going to regret this
I've got plenty of time
Snooze time baby
I'm going to break that damn alarm clock
Shut the hell up I'm sleeping
Go away Mom
Where'd this transvestite come from
Damn i'm old
shit, late for work again
Got some really cool animation or picture that would look really cool on my
website. Just up load it to me from your hard drive
Any other pointless information youd like to tell me
(Warning, do not clear unless you want to
clear the whole form)