Name:
Address:
City:
State:
Zip Code:
Telephone Number:
Email:
I am:
< 21 Years
Old
21-30
31-40
41-50
>50
I am:
Single
Divorced
Married
I am:
Reasonably
Symmetrical
More
Vertical Than Horizontal
More
Horizontal Than Vertical
Barbie
Doll-esque
Rosie
O'Donnell-ish
I drink:
All The
Time
Socially
Never I will drink (check all that apply):
Beer Wine
Whiskey
Scotch
Tequila Gin
Cosmopolitans
Chocolate Martinis
Whatever Is In Dad's Liquor Cabinet
Whatever You’re Buying
I have (check all that apply):
A Mrs. Santa Suit An
Elf or Pixie Costume A Cheerleader Outfit
A Schoolgirl Uniform
A Black Leather Mini-Skirt And Thigh-Highs
A Boob-Job
A Trust Fund
An Excellent Personality
A Drinking Problem
A Pick-Up Truck
A Boat
A Bunch Of Slutty Friends
I want to be Mrs. Santa:
To Enhance My Career
To Pad My Resume
To Get Close To The Indy Santacon
Team
To Get Back At My Parents
To Get Back At My Husband
Because I'm A Drunk
Because I'm A Sociopath
Because I'm An Exhibitionist
Because I'm A Drunken, Sociopathic, Exhibitionist, Trying To Get Back At
Everyone EXCEPT The Indy Santacon
Team
What phrase best suits you?
Dress me in a red suit with fur trim and let's go!
I enjoy men who drink lots of beer!
I enjoy men who drink lots of beer and smell like a deep-fryer!
It doesn't bother me when someone starts a fight with a policeman!
I like it when people throw up in my car!
Money? I don't care about that; I just want to be Mrs. Santa!
Who says thong-bikinis are only for the beach?
I own a bar!
My Dad owns a bar!
Could you please repeat the question?
We get to sit around the house and drink with your friends all weekend
-GROOVEY!
What animal noise are you most likely to spontaneously make and under
what conditions (be elaborate)?
My special qualifications include (but are not
limited to):