Application for permission to date my daughter

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

Personal Details

Name:

Address:

Email:

Phone Number:

IQ:

<!-- ------------------Radio Buttons-------------------------------- -->
<div>
  <label for="Gender">Gender</label>
  <p>
    <input type="radio" name="gender" value="male" checked> Male<br>
    <input type="radio" name="gender" value="female"> Female<br>
    <input type="radio" name="gender" value="other"> Other
  </p>
</div>
<label for="date-label">Date of Proposed Outing:</label>
<input type="date" name="bday">

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: Left Wing Right Wing Conservative Nazi

  <label for="politics">Education Level Completed:</label>
  <select id="dropdown2">

University College High School None

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 Files

Send your application

Resources

Mini project

Application for permission to date my daughter