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OFFICIAL "SURVIVE THIS" APPLICATION
NAME:____________________________________________
ADDRESS:_________________________________________
HOME PHONE:________(Needed so the funny farm can call after the show for someone to come and pick you up!)
AGE:__ (Must be over 20...we don't want to do any permanent damage.)
MARITAL STATUS___ (Must be single...and have knowledge that after the game it may always be single.)
SEX:__ (Male or Female will be sufficient)
List any survival skills that you may have that would be useful in this game:
(note: some required skills include; butt-wiping, boo-boo kissing and swear-word spelling.
Some non-essential, but nonetheless useful skills would include; knowing how to
treat bites, pokes, bruises, cuts&scrapes, knowledge of patty-cake, duck-duck-goose, ring-around-the-rosie,
hide-and-go-seek, simon-says, and mother-may-I.)
List 5 crazy reasons why you want to play: ("because I want to be on t.v." can't be one)
1.
2.
3.
4.
5.
Name all seven dwarfs, what the three pig's houses were made of, the color of eggs that goes with ham,
the reason fuzzy wuzzy had no hair, the names of least four pokemon, and if I am rubber
and you are glue...what happens?:
In your own words, describe why it's not a good idea to put crayons in your nose, why we don't put sandwiches in the vcr (or tape deck),
why CD's are not used for frisbees, and what is under the road (and under the dirt under the road, and under that dirt? and that dirt? and that dirt?).
If chosen to play "Survive This", you will be required to sign a waiver stating that you won't hold myself, or the production, or anyone associated with
"Survive This" liable for any damage done to your person, your belongings, your mind, your well-being, or your self-respect.
::"Survive This"-The Rules:: ::"Survive This"-The Contents:: ::Real Survivor Links::
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