Name: _____________________________
Nickname: _____________________________
Address: _____________________________
Exit # (NJ Turnpike): _______
Exit # (Garden State Parkway): _______
- Ethnic Background:
___Italian
___Sicilian
___Jewish
___Italian
___Italian - Backyard Smells Like:
___Sewage
___Sulfur
___Garbage
___All 3 - # of Muscle Shirts Owned:
___5-10
___10-15
___15-20
___20 and above - # of Bon Jovi Tour Shirts Owned:
___5-10
___10-15
___15-20
___20 and above - # of Bon Jovi Shirts That are Also Muscle Shirts:
___5-10
___10-15
___15-20
___20 and above - Brand of Jeans Preferred:
___Sergio Valente
___Jordache
___Sassoon
___Z.Cavaricci - Percentage of Wardrobe Which is Skintight:
___100%
___95-100%
___90-95%
___85-90% - # of Gold Chains Owned:
___10-15
___15-20
___20-25
___25 and above - # of Gold Chains Worn at One Time:
___5-10
___10-15
___15-20
___20 and above - Approximate Value of ALL jewelry:
___$5-$25
___$25-$50
___$50-$100
___Stolen - Number of Applications of Obsession/Polo/Drakar Before Going Out:
___10-15
___15-25
___25 and above - Gold Cap on at Least One Tooth?
___Yes
___No - Hair Height (must be completed by applicants seeking residency in Edgewater or Bayonne)
___6-8 inches
___8-12 inches
___1-2 feet
___More than 2 feet - Hair Products Used:
___Hair Spray
___Extra-Hold Lacquer
___Styling Gel
___Mousse
___Extra - Hold Styling Gel:
___Bondo
___Spackle
___40 Weight Oil
___Krazy Glue - Automobile Owned:
___IROC Z
___Firebird
___Camaro
___Mustang
___Thunderbird - Number of Inches Car is Off the Ground:
___6-8 inches
___4-6 inches
___2-4 inches
___Under 2 inches - Car Paraphernalia:
___Gold chain around license plate
___Neon lights around license plate
___Neon lights under car
___Chippendales/Playboy air freshener hanging on rear view mirror
___Garter hanging from rear view mirror
___Chrome hubcaps
___Stick-on window tinting
___Stick-on paint splash stickers
___Fuzzy dice tattoo
___Crown deodorizer on dash or in rear window - Favorite Sports Team:
___Fuckin’ Giants
___Fuckin’ Jets
___Fuckin’ Mets
___Fuckin’ Yankees
___Fuckin’ Nets
___Fuckin’ Knicks
___Fuckin’ Devils
___Fuckin’ Rangers
___Fuckin’ Islanders - Favorite Music:
___Techno
___Bon Jovi
___Bruce Springsteen - Favorite Actor/Actress:
___Joe Pesci
___Robert DeNiro
___Al Pacino
___Marisa Tomei
___Annette Funicello
___Anna Magnani - Favorite Movie:
___The Godfather
___The Godfather Part II
___The Godfather Part III
___Goodfellas
___My Cousin Vinnie - Favorite Profanity (proceeded by YO!):
___Motherfucker
___Cocksucker
___Jerkoff
___Scumbag
___Douche Bag - # of Religious Statutes at Grandparents House:
___5-10
___10-15
___15-20
___20 and above - Relatives Named “Sal”:
___5-10
___10-15
___15-20
___20 and above - Favorite International Destination:
___Belmar
___Seaside Heights
___Point Pleasant
___Bayonne
___Great Adventure
___Secaucus - Favorite Driving Technique
___Tailgating
___Attacking stop signs
___Doing 106 mph on the right shoulder of the parkway
___Giving the finger to slow, elderly drivers (non-related)
___Giving the finger to slow, elderly drivers (own grandparents)