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Jerry springer

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By (user no longer on site) OP   
over a year ago

Well, if you're the kinda folks who are inclined to star in the Jerry Springer show, here's your application form. Print it off and send it in and we'll be seeing ya'll real soon now.

Last name: ________________

First name: (Check appropriate box)

(_) Billy-Bob

(_) Billy-Joe

(_) Billy-Ray

(_) Billy-Sue

(_) Billy-Mae

(_) Billy-Jack

What does everyone call you?

(_) Booger

(_) Bubba

(_) Junior

(_) Sissy

(_) Other___________________

Age: ____ (if unsure, guess) _____ Not sure

Shoe Size: ____ Left ____ Right

Occupation: (Check appropriate box)

(_) Farmer

(_) Mechanic

(_) Stripper

(_) Hair Dresser

(_) Unemployed

(_) Dirty Politician

(_) Preacher

Spouse's Name:_________________________

2nd Spouse's Name:______________________

3rd Spouse's Name:______________________

Lover's Name:___________________________

Relationship with spouse: (Check appropriate box)

(_) Sister

(_) Brother

(_) Aunt

(_) Uncle

(_) Cousin

(_) Mother

(_) Father

(_) Son

(_) Daughter

(_) Pet

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)

Education: 1 2 3 4 (Circle highest grade completed)

Vehicles:

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: ___

Model and year of your pickup: 196_

Firearms:

Number of firearms you own and where you keep them:

____ truck

____ bedroom

____ bathroom

____ kitchen

____ shed

Do you have a gun rack?

If no, please explain:

Media Interests:

Newspapers/magazines you subscribe to:

(_) The National Enquirer

(_) The Globe

(_) TV Guide

(_) Soap Opera Digest

(_) Rifle and Shotgun

Hobbies:

Number of times you've seen a UFO:_____

Number of times in the last 5 years you've seen Elvis:_____

Number of times you've seen Elvis in a UFO:_____

Hygiene:

How often do you bathe:

(_) Weekly

(_) Monthly

(_) Not Applicable

Color of eyes:

Right_____ left_____

Color of hair:

(_) Blond

(_) Black

(_) Red

(_) Brown

(_) White

(_) Clairol

Color of teeth:

(_) Yellow

(_) Brownish-Yellow

(_) Brown

(_) Black

(_) N/A

Brand of chewing tobacco you prefer:

(_)Red-Man

How far is your trailer from a paved road?

(_) 1 mile

(_) 2 miles

(_) Just a whoop-and-a-holler!

(_) road?

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By *ittle_brat_evie!!Woman
over a year ago

evesham

hehehe - made me giggle

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By (user no longer on site)
over a year ago

Peaches

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By *abioMan
over a year ago

Newcastle and Gateshead

I'd like to see the adapted version they use for the jeremy kyle show... lol

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By (user no longer on site) OP   
over a year ago

Not much difference _abio

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By (user no longer on site) OP   
over a year ago

Watch a js show once and a guy was on who had sliced his dick off cuz he was fed up with bieng stalked by a gay fella

He then flushed it down the loo so the surgeons couldnt sew it back.

One surgeon said they may be able to make him another one.

didnt think they had "blue peter" over there ?

Only in america eh !!!

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By (user no longer on site) OP   
over a year ago

Just spotted some people who would be great on the springer show. lmao

rejected off kyle me thinks

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