1. House address: 1334 Benny Road 2. Is this house on a farm (or ranch)? no 3. If no in item 2: Is this house on a place of three or more acres? Probably.
For All Persons:
4. Name (last name first): Zaraki, Kenpachi
· What is the name of the head of household? See above. · What are the names of all other persons who live here? · List in this order: - The head: Kenpachi Zaraki - His wife: Hayate - Unmarried sons and daughters and their families (in order of age): Vita - Married sons and daughters and their families: - Your least favorite color:Yellow
5. Species (underline applicable):
Human (H) Animal (A) Communist (☭) Wizard (W) Catgirl (CG) God/Goddess (G) Other (please specify) Shinigami
6. Sex (underline applicable):
Male (M) Female (F)
7. Are you now married, widowed, divorced, separated, or never married? (Mar, Wd, D, Sep, Nev) Nev
8. What State (or foreign country) were you born in? Soul Society, district 80 of Rukongai
9. What is your deepest secret? Don't have one.
10. If foreign born: Are you naturalized? (Yes, No, or AP for born abroad of American parents) No.
11. What are you most ashamed about? Not being able to fight Aizen before getting stuck in Hueco Mundo.
For Persons 14 Years of Age and Over:
12. What were you doing most of last week: working, keeping house, or something else? (Wk, H, Ot, or U for unable to work) Wk
13. If H or Ot in Item 12: Did you do any work at all last week, not counting work around the house? (Include work for pay, in own business, profession, on farm, or unpaid family work) (Yes or No)
14. If No in Item 13: Were you looking for work? (Yes or No)
15. If No in Item 14: Even though you didn't work last week, do you have a job or business? (Yes or No)
16. If No in Item 15: Do you have a good explanation for why you are being so utterly useless to the prosperity of our great town? (Yes, Female, or No, elaborate. Yes is not a valid answer.) For All Persons:
17. What country were your father and mother born in? (Enter US or name of Territory, possession, or foreign country)
Father: Don't know Mother:Don't know
18. If anything but America in Item 17, justify your right to be here (maximum 100 words): what justification do you have for being here, asking worthless questions? I don't want to be here, so kick me out. Or, instead of kicking me out, COME OUT OF YOUR HIDING PLACE AND FIGHT ME.
19. What is your most embarrassing memory? Don't have one.
20. What is more important- laughter (L) or medicine (M)? both
21. Please list all of the following diseases you have been afflicted by, if any: Measles (M), Mumps (U), Chicken-Pox (C), Polio (P), Tuberculosis (T), Smallpox (S), Communism (R) Being in Mayfield.
For All Males in the Household:
22. Did you ever serve in the U.S. Armed Forces during (specify Y or N): N
22a. World War II
22b. World War I
22c. Any other time, including present service
23. If No to any question in Item 22, justify your reasons for being so reprehensibly unpatriotic (maximum 100 words): Because I'm not american. I don't want to be american.
24. Are you a Communist? Are you? No, but you probably are. What the hell is a communist anyway?
For All Persons:
25. Is there an afterlife and how do you know this isn't it? (maximum 100 words) There is. I'm from there. It doesn't make people go through pointless nonsense.
no subject
1. House address: 1334 Benny Road
2. Is this house on a farm (or ranch)? no
3. If no in item 2: Is this house on a place of three or more acres? Probably.
For All Persons:
4. Name (last name first): Zaraki, Kenpachi
5. Species (underline applicable):
6. Sex (underline applicable):
7. Are you now married, widowed, divorced, separated, or never married? (Mar, Wd, D, Sep, Nev) Nev
8. What State (or foreign country) were you born in? Soul Society, district 80 of Rukongai
9. What is your deepest secret? Don't have one.
10. If foreign born: Are you naturalized? (Yes, No, or AP for born abroad of American parents) No.
11. What are you most ashamed about? Not being able to fight Aizen before getting stuck in Hueco Mundo.
For Persons 14 Years of Age and Over:
12. What were you doing most of last week: working, keeping house, or something else? (Wk, H, Ot, or U for unable to work) Wk
13. If H or Ot in Item 12: Did you do any work at all last week, not counting work around the house? (Include work for pay, in own business, profession, on farm, or unpaid family work) (Yes or No)14. If No in Item 13: Were you looking for work? (Yes or No)15. If No in Item 14: Even though you didn't work last week, do you have a job or business? (Yes or No)16. If No in Item 15: Do you have a good explanation for why you are being so utterly useless to the prosperity of our great town? (Yes, Female, or No, elaborate. Yes is not a valid answer.)For All Persons:
17. What country were your father and mother born in? (Enter US or name of Territory, possession, or foreign country)
18. If anything but America in Item 17, justify your right to be here (maximum 100 words): what justification do you have for being here, asking worthless questions? I don't want to be here, so kick me out. Or, instead of kicking me out, COME OUT OF YOUR HIDING PLACE AND FIGHT ME.
19. What is your most embarrassing memory? Don't have one.
20. What is more important- laughter (L) or medicine (M)? both
21. Please list all of the following diseases you have been afflicted by, if any: Measles (M), Mumps (U), Chicken-Pox (C), Polio (P), Tuberculosis (T), Smallpox (S), Communism (R) Being in Mayfield.
For All Males in the Household:
22. Did you ever serve in the U.S. Armed Forces during (specify Y or N): N
23. If No to any question in Item 22, justify your reasons for being so reprehensibly unpatriotic (maximum 100 words): Because I'm not american. I don't want to be american.
24. Are you a Communist? Are you? No, but you probably are. What the hell is a communist anyway?
For All Persons:
25. Is there an afterlife and how do you know this isn't it? (maximum 100 words) There is. I'm from there. It doesn't make people go through pointless nonsense.