Last name: _________________First name:(Check appropriate box)[_] billy bob [_] Bobby-Sue[_] Billy-Joe [_] Bobby-Jo[_] Billy-Ray [_] Bobby-Ann[_] Billy-Sue [_] Bobby-Lee[_] Billy-Mae [_] Bobby-Ellen[_] Billy-Jack [_] Bobby-Beth Ann Sue Age: ______ (if unsure, guess) Sex: _____M_____F_____Not sure Shoe Size: _____Left_____Right Occupation:[_] Farmer [_] Mechanic[_] Hair Dresser [_] Waitress[_] Unemployed [_] Dirty Politician