Name:______________ Stage name: ________________Agent:______________ Attorney:__________________
Sex: ___male ___female ___formerly male ___formerly female ___bothIf 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:________________________ Please check hair color: Females: [ ] Blonde [ ] Platinum BlondeTeenagers: [ ] Purple [ ] Blue [ ] Skinhead Please check activities you perform while driving: (Check all that apply)
[ ] Eating [ ] Applying make-up [ ] Talking on the phone [ ] Slapping kids in the back-seat [ ] Applying cellulite treatment to thighs [ ] Tanning [x] Snorting cocaine (already checked for ease of application) [ ] Watching TV[ ] Reading Variety [ ] Surfing the net via laptop
Please indicate how many times:
a) you expect to shoot at other drivers ____
b) how many times you expect to be shot at while driving ____
If you are the victim of a car jacking, you should immediately:
a) Call the police to report the crime
b) Call Channel 4 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 911 call not going through
d) Call your therapist
e) None of the above (South Central residents only)
In the event of an earthquake, should you:
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 4
In the instance of rain, you should:
a) decelerate by 5 mph
b) drive twice as fast as usual
c) you're not sure what "rain" is
Please indicate number of therapy sessions per week: ____.
Are you presently taking any of the following medications?
If none, please explain: __________________.
Length of daily commute:
a) 1 hour
b) 2 hours
c) 3 hours
d) 4 hours or more
When stopped by police, should you:
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 405 Freeway
c) have your video camera ready and provoke them to attack, thus ensuring yourself of a hefty lawsuit.
A Georgia State Trooper pulled a car over on I-95 about 2 miles south of the Georgia/South Carolina state line. When the Trooper asked the driver why he was speeding, the driver answered that he was a magician and a juggler and he was on his way to Savannah to do a show that night at the Shrine Circus and didn't want to be late.
The Trooper told the driver he was fascinated by juggling, and if the driver would do a little juggling for him that he wouldn't give him a ticket. The driver told the Trooper that he had sent all of his equipment on ahead and didn't have anything to juggle. The Trooper told him that he had some flares in the trunk of his patrol car and asked if he could juggle them. The juggler stated that he could, so the Trooper got three flares, lit them and handed them to the juggler.
While the man was doing his juggling act, a car pulled in behind the patrol car. A drunk good old boy got out and watched the performance briefly, he then went over to the patrol car, opened the rear door and got in. The Trooper observed him doing this and went over to the patrol car, opened the door and asked the drunk what he thought he was doing. The drunk replied, "You might as well take my ass to jail, cause there's no way in hell I can pass that test."
That's it for now. More soon.
Stay Tuned !