1. House address: N/A 2. Is this house on a farm (or ranch)? N/A 3. If no in item 2: Is this house on a place of three or more acres? N/A
For All Persons:
4. Name (last name first): Okumura Rin
· What is the name of the head of household? Theo Crawford · What are the names of all other persons who live here? Yukio, Apple Jack, Kuro, Tuxedo Cat, Bird 1, Bird 2. · List in this order: - The head: Theo - His wife: Kira. She's droned now. - Unmarried sons and daughters and their families (in order of age): Me and Yukio. - Married sons and daughters and their families: Nobody. - Your least favorite color:Puce. It looks like puke.
5. Species (underline applicable):
Human (H) Other (please specify) Exorcist!
6. Sex (underline applicable):
Male (M)
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? Japan.
9. What is your deepest secret? None of your business.
10. If foreign born: Are you naturalized? (Yes, No, or AP for born abroad of American parents) No. Have no reason to be.
11. What are you most ashamed about? Things I've said.
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 and H. Don't you have camera's stuck everywhere anyways?
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) Working at the cafe.
14. If No in Item 13: Were you looking for work? (Yes or No) N/A
15. If No in Item 14: Even though you didn't work last week, do you have a job or business? (Yes or No) N/A
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.) N/A
For All Persons:
17. What country were your father and mother born in? (Enter US or name of Territory, possession, or foreign country)
Father: Japan. (and hell) Mother: Japan I think.
18. If anything but America in Item 17, justify your right to be here (maximum 100 words): I don't want to be here. You assholes took me from my home and stuck me in some random house. So if you want me gone then fuckin' get on with it. Just don't leave Yukio stuck here if I'm sent back.
19. What is your most embarrassing memory? A few broken bones might be involved... not mine though.
20. What is more important- laughter (L) or medicine (M)? L
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) Can I be afflicted with bull shit detector illness? Because if so. This.
For All Males in the Household:
22. Did you ever serve in the U.S. Armed Forces during (specify Y or N):
22a. World War II N
22b. World War I N
22c. Any other time, including present service N
23. If No to any question in Item 22, justify your reasons for being so reprehensibly unpatriotic (maximum 100 words): I'm sixteen. Suck it. Plus I lived in Japan before getting brought here!
24. Are you a Communist? Are you? What do you think?
For All Persons:
25. Is there an afterlife and how do you know this isn't it? (maximum 100 words) This is dumb. It's like sunday school all over again. I'm not answering this.
no subject
1. House address: N/A
2. Is this house on a farm (or ranch)? N/A
3. If no in item 2: Is this house on a place of three or more acres? N/A
For All Persons:
4. Name (last name first): Okumura Rin
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? Japan.
9. What is your deepest secret? None of your business.
10. If foreign born: Are you naturalized? (Yes, No, or AP for born abroad of American parents) No. Have no reason to be.
11. What are you most ashamed about? Things I've said.
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 and H. Don't you have camera's stuck everywhere anyways?
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) Working at the cafe.
14. If No in Item 13: Were you looking for work? (Yes or No) N/A
15. If No in Item 14: Even though you didn't work last week, do you have a job or business? (Yes or No) N/A
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.) N/A
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):
I don't want to be here. You assholes took me from my home and stuck me in some random house. So if you want me gone then fuckin' get on with it. Just don't leave Yukio stuck here if I'm sent back.
19. What is your most embarrassing memory? A few broken bones might be involved... not mine though.
20. What is more important- laughter (L) or medicine (M)? L
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) Can I be afflicted with bull shit detector illness? Because if so. This.
For All Males in the Household:
22. Did you ever serve in the U.S. Armed Forces during (specify Y or N):
23. If No to any question in Item 22, justify your reasons for being so reprehensibly unpatriotic (maximum 100 words):
I'm sixteen. Suck it. Plus I lived in Japan before getting brought here!
24. Are you a Communist? Are you? What do you think?
For All Persons:
25. Is there an afterlife and how do you know this isn't it? (maximum 100 words)
This is dumb. It's like sunday school all over again. I'm not answering this.