2005 CALIFORNIA DRIVER'S LICENSE APPLICATION
Name: ___________________
Stage Name:__________________
Agent: ___________________
Attorney:____________! ________
Therapist's Name: _________________
Sex:
[ ] Male
[ ] Female*
[ ] Formerly Male
[ ] Formerly Female
[ ] Both
*If female, indicate breast implant size: _______
Will the size of your implants hinder your ability to safely operate a motor vehicle in any way?
[ ] Yes
[ ] No
Please list brand of cell phone: ________.
If you don't own a cell phone, please explain why you don't:______________________________________________(Use extra pages, if necessary)
Please check hair color:
Females:
[ ] Blonde
[ ] Platinum Blonde
Teenagers:
[ ] Red
[ ] Orange
[ ] Green
[ ] Purple
[ ] Blue
[ ]Skinhead
[ ]Other ___________
Please check activities you perform while driving:
(Check all that apply)
[ ] Eating
[ ] Drinking Starbucks coffee
[ ] Applying make-up
[ ] Shaving (male or female)
[X] Talking on the phone (already checked for your convenience)
[ ] Lifting weights
[ ] Slapping kids in the back-seat
[ ] Applying cellulite treatment to thighs
[ ] Tanning
[ ] Snorting cocaine
[ ] Watching TV
[ ] Reading Variety
[ ] Surfing the net via laptop
[ ] Discharging firearms / reloading
Please indicate how many times, while driving, you expect to:
[ ] a) Shoot at other drivers ___
[ ] b) Be shot at ___
If you are the victim of a carjacking, you should immediately:
[ ] a) Call the police to report the crime.
[ ] b) Call Channel 9 News to report the crime, then watch your car on the news in a high-speed chase.
[ ] c) Call your attorney and discuss lawsuit against cellular phone company for your 911 call not going through.
[ ] d) Call your therapist.
In the event of an earthquake, you should:
[ ] a) Stop your car.
[ ] b) Keep driving and hope for the best.
[ ] c) Immediately use your cell phone to call all loved ones.
[ ] d) Pull out your video camera and obtain footage for Channel 9.
In the instance of rain, you should:
[ ] a) Never drive over 5 MPH.
[ ] b) Drive twice as fast as usual.
[ ] c) You're not sure what "rain" is.
Please indicate your current number of therapy sessions per week:________
Are you presently taking any of the following medications?
[ ] a) Prozac
[ ] b) Zovirax
[ ] c) Lithium
[ ] d) Zanax
[ ] e) Valium
[ ] f) Medical pot
[ ] g) Zoloft
[ ] h) All of the above
[ ] i) None of the above**
If none, please explain: __________________.
Length of daily commute:
[ ] a) Less than 1 hour*
[ ] b) 1 hour
[ ] c) 2 hours
[ ] d) 3 hours
[ ] e) 4 hours or more
* If less than 1 hour, please explain:____________________.
When stopped by police, you should:
[ ] a) Pull over and have your driver's license and insurance form ready.
[ ] b) Try to outrun them by driving the wrong way on the freeway.
[ ] c) Have your video camera ready and provoke them to attack, thus ensuring yourself of a hefty lawsuit profit.
When you see a woman driver with her arm extended out the window, it means:
[ ] a) Her turn-signals are broken.
[ ] b) She is giving an indication she intends to change lanes.
[ ] c) She is drying her nails.
Which part of your car will wear out first?
[ ] a) The wiper blades
[ ] b) The seat belts
[ ] c) The horn
Automatic door locks are good for:
[ ] a) Security
[ ] b) Convenience
[ ] c) Messing with the heads of people trying to get in.
The "bright" setting on your headlights is for:
[ ] a) Dark, poorly lit roads
[ ] b) Flashing to get the car ahead to move out of the way
[ ] c) Revenge
__________________
Wow !!!!
-
This has been a real mess.
My computer sat down and I bought a second hand one. A big mistake as it
has a mind of its own, passwords applied and unknown...
4 days ago
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