Application forms

For Permission To Date My Daughter

Form is to be completed at least 21 days prior to date

Personal Details Name:

Address:

Email:

Phone number:

IQ:

Gender:

Male:
Female:
Other:

Date of Proposed Outing:

Check All That Apply

I have tattoos and/or piercings
I am more than 2 years older than my daughter
I own a panel van or V8 ute
I work full-time
My parents are rich
Is the date at a well lit public location

Political Persuasion: Education Level Completed:

Essay Section

In 50 words or more explain why you want to date my daughter

Please upload contact details for 2 references

Upload Police Clearance Certificate, Bank Statement and Medical Certifiates here: Attach File