

We are glad to see you applying for a banjo permit. Have someone read this application to you, and answer as best you know how. There is a five day waiting period, as mandated by the Brady Bill. At the end of that period, you will be notified as to the status of your permit.
Last name:
First name: Billy-Bob
Billy-Joe Billy-Ray
Billie-Sue
Billie-Mae Billy-Jack
(Check appropriate box)
Age: Sex: M F Not sure Often
Shoe Size: Left Right
Occupation: Farmer Mechanic Fast Food Unemployed
Spouse's Name:
Relationship with spouse:
Sister Brother AuntUncle Cousin
Mother
Father SonDaughter Pet
Number of children living in household: Number that are yours:
Mother's Name: Father's Name: (If not sure, leave blank)
Education: 1 2 3 4 (Mark highest grade completed)
If you are one of those city folks with education that play the banjo, check here and please outline in your own words on the back of this form why you want to play banjo. Neatness counts.
Do you own or rent your mobile home? (Check appropriate box)
Total number of vehicles you own Number of vehicles that still
crank
Number of vehicles in front yard Number of vehicles in back yard
Number of vehicles on cement blocks
Firearms you own and where you keep them:
truck bedroom bathroom kitchen
shed
Model and year of your pickup: 194
Do you have a gun rack? Yes No; If no, please explain:
Newspapers/magazines you subscribe to: The National Enquirer The Globe
TV Guide Soap Opera Digest Rifle and Shotgun Banjo Newsletter
Number
of times you've seen a UFO
Number of times you've seen Elvis
Number of times you've seen
Elvis in a UFO
How often do you bathe: Weekly Monthly Not Applicable
Color of teeth: Yellow Brownish-Yellow Brown Black N/A
Brand of chewing tobacco you prefer: Red-Man Copenhagen
How far is your home from a paved road? 1 mile 2 miles don't know
Religious preference: Babtist Pentacostal Snake-
handling Pentacostal
Closet Babtist Pagan Pentacostal Holiness Afire and Testifin' Pentacostal
Pentacostal Druid Other Pentacostal Cthulhu Cultist
Where do you intend to play this
banjo?
On my back porch with my teeth out In church In prison In a bluegrass band In public places In the bathroom
Have you ever been convicted or accused of a felony involving small animals
duct tape ukeleles tobacco juice underage mandolins?

Print this page with your answers, and bring it with you to the music store of your choice or the person you are purchasing the banjo
from.Falsification of information on this permit is a felony, and could result in your being sent to a nasty jail cell with a roommate who plays
polka music.