forget it, jake, it's assyriatown
Apr. 5th, 2002 09:23 amMandos Release Form, Stage 1A
NAME: Ann Leslie Larimer
RESIDENCE: Earth
MARITAL STATUS (check one):
[X] single
[ ] married
[ ] imprisoned
[ ] willingly enslaved
[ ] involved slut
[ ] "partnered," but employed by Disney and/or Southerners
CHILDREN? n
If YES, #: _____
If YES, names and ages: _______________________________________________________________________________________
If YES, names of the children you actually want:_______________________________________________________________________________________
REASON REQUESTING RESURRECTION:
[ ] war will be lost in absence
[ ] am famous Maia not finished conquering unspeakable evil
[ ] wife and 20 kids will starve, blah blah, or related excuse
[X] too pretty to die
[ ] heirless/usurped royalty
[ ] revenge
[X] I'm missing "Buffy."
[X] other (please describe):
BODY:
[X] human
[ ] elf
[ ] dwarf
[ ] halfling
[ ] non-humanoid (describe: __________________________)
[ ] Michael J. Fox
[ ] other: _______________________________________________________________________________________
NECESSARY REPAIRS OR ALTERATIONS:
[ie: removal of foreign object from eye socket, reconstruction of crushed face or skull, replacement of limb lost in death, removal of evil beeper or other telecommunications device given by Prince of Darkness]
Removing the arrow would be nice.
CAPITAL OF ASSYRIA:
FAVORITE COLOR (check one): [X] blue [ ] yellow
AFFILIATION:
[X] good
[ ] evil
[X] cult (which:
[ ] neutral chaotic
PETS (if any): 0
# OF TIMES PET(S) HAS TRIED TO MURDER FAMILY MEMBER, SPOUSE OR SIGNIFICANT OTHER/ DESTROY TOKYO/ EAT A WORLD LEADER/ START INTERNATIONAL CONFLICT/ OTHER ATROCITY/ACT OF MERCY: ___
DESCRIBE: _______________________________________________________________________________________
NAME OF GREAT-GREAT-GRANDMOTHER'S PET POODLE:
BRAND OF SAID POODLE'S FLEA COLLAR:
--------------DO NOT WRITE BELOW THIS LINE--------------
FOR PROCESSOR ONLY:
[ ] ACCEPT
[ ] REJECT
NOTES:
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NAME: Ann Leslie Larimer
RESIDENCE: Earth
MARITAL STATUS (check one):
[X] single
[ ] married
[ ] imprisoned
[ ] willingly enslaved
[ ] involved slut
[ ] "partnered," but employed by Disney and/or Southerners
CHILDREN? n
If YES, #: _____
If YES, names and ages: _______________________________________________________________________________________
If YES, names of the children you actually want:_______________________________________________________________________________________
REASON REQUESTING RESURRECTION:
[ ] war will be lost in absence
[ ] am famous Maia not finished conquering unspeakable evil
[ ] wife and 20 kids will starve, blah blah, or related excuse
[X] too pretty to die
[ ] heirless/usurped royalty
[ ] revenge
[X] I'm missing "Buffy."
[X] other (please describe):
- So many tasks undone, financial obligations, supposed to see LOTR Sunday, etc. And the Buffy thing.
BODY:
[X] human
[ ] elf
[ ] dwarf
[ ] halfling
[ ] non-humanoid (describe: __________________________)
[ ] Michael J. Fox
[ ] other: _______________________________________________________________________________________
NECESSARY REPAIRS OR ALTERATIONS:
[ie: removal of foreign object from eye socket, reconstruction of crushed face or skull, replacement of limb lost in death, removal of evil beeper or other telecommunications device given by Prince of Darkness]
Removing the arrow would be nice.
CAPITAL OF ASSYRIA:
- Assyriatown
FAVORITE COLOR (check one): [X] blue [ ] yellow
AFFILIATION:
[X] good
[ ] evil
[X] cult (which:
- Middle-Earth Sock Puppet Players [hon.]
[ ] neutral chaotic
PETS (if any): 0
# OF TIMES PET(S) HAS TRIED TO MURDER FAMILY MEMBER, SPOUSE OR SIGNIFICANT OTHER/ DESTROY TOKYO/ EAT A WORLD LEADER/ START INTERNATIONAL CONFLICT/ OTHER ATROCITY/ACT OF MERCY: ___
DESCRIBE: _______________________________________________________________________________________
NAME OF GREAT-GREAT-GRANDMOTHER'S PET POODLE:
- Ginger
BRAND OF SAID POODLE'S FLEA COLLAR:
- Fleebeegone
--------------DO NOT WRITE BELOW THIS LINE--------------
FOR PROCESSOR ONLY:
[ ] ACCEPT
[ ] REJECT
NOTES:
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