Guest Application For The Jerry Springer Show

Discussion in 'The Powder Keg' started by Doglips, Sep 26, 2002.

  1. Doglips

    Doglips Guest


    Personal Information:

    Name___________ Nickname______________ CB Handle_____

    Yore Mama________Yore Daddy (if known)_______

    Spouse's Name_________

    Relationship to spouse: ___Sister ____Brother ____Mother ____Father ___Pet ___Aunt ___Uncle

    Occupation: ___Unemployed Mechanic ___Gun Show Dealer ___Skinhead

    Number of Children in Household: ___ Number of children that are yours___

    Circle Highest Level of Education: 1 2 3 4

    How Far is Your Mobile Home From a Paved Road: ___1mi. __5 mi.?

    Number of Times You Have Survived a Tornado: ___

    Number of Vehicles Owned: ___ Number on Cement Blocks____

    Truck Equipment: ___Gun Rack ___Pit Bull ___Spit Cup ___Fuzzy Dice ___
    Rebel Flag ___Naked Woman Mudflaps ___NWO and/or NRA sticker

    Weapons Owned: ___Tire Iron ___Pick Handle ___Beer Bottle ___Shotgun

    Number of Dogs Owned: ___ Number of Homemade Tattoo: ___

    Which of the Following Appliances are in your Front Yard: ___Friggerator ___Heatin Stove ___Warsher ___TV ___Freezer

    How Many of the Above Appliances Work: ___

    Fav-o-rite Recreation: ___Drinkin ___Cow Chip Throwin ___Possum Huntin ___Crawdad Huntin ___Spittin Backy ___Scratchin ___Watchin Wrasslin

    If You Can Read, Which Magazines Do You Prefer: ___Soap Opera Digest___ Rifle and Shotgun ___NWA ___TV Guide ___National Enquirer___True Confessions

    Which Stinks Worse: ___Hogpen ___Outhouse ___Spouse

    Can You Spell Your Last Name:___Yup ___Nope

    Can You Remember Your Last Name: ___Yup ___Nope

    Have You Ever Stayed Sober for More Than One Day: ___Yup ___Nope

    Do You Know Any Words with More Than 4 Letters: ___Yup ___Nope

    Which is CorrectA: ___"I Seed Him" or ___"I Seen Him"

    How Many Cartons of Cigarettes Do You Smoke a Day? ___

    Math Test: How Many Food Stamps Do the Following Cost? ___Six Pack ___Ciggies ___Shotgun Shells ___Backy ___Prostitute

    Number of Times You've Seen: ___a UFO ___ Elvis ___Elvis in a UFO

    Health Questionaire: Which of the Following Do You Have?
    ___Head Lice ___B.O. ___Crabs ___Runny Nose ___Boils

    Can You Remember the Last Time You Bathed? ___Yup ___Nope

    Color of Teeth: ___Yellow ___Brown ___Black ___N/A

    I hereby swear this is the trooth and and sign my "X" on _________19__
  2. Oxford

    Oxford G&G Evangelist

    It always amazes me that people agree to go on that show. They all seem to be losers.

  3. Big Dog

    Big Dog Retired IT Dinosaur Wrangler Forum Contributor

    From what I've read, many of those "guests" are paid actors. His show is no more real that "Wrasslin'". At least on pro wresting they have more skill and showmanship.
    Think Jerry will have Rosie on after her "change"? :rolleyes:

    NRAJOE YOU TALKIN' TO ME!? Forum Contributor

    If you watch his show with any frequency you will see the same people showing up with other problems, I.E first they was doing their own mother but now they's doing their cousins mothers sister! :throwup: