NAME:
RESIDENCE:
MARITAL STATUS (check one):
[ ] single
[ ] married
[ ] imprisoned
[ ] willingly enslaved
[ ] involved slut
[ ] "partnered," but employed by Disney and/or Southerners
CHILDREN?
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
[ ] too pretty to die
[ ] heirless/usurped royalty
[ ] revenge
[ ] I'm missing "Buffy."
[ ] other (please describe):
BODY:
[ ] human
[ ] elf
[ ] dwarf
[ ] halfling
[ ] non-humanoid (describe: __________________________)
[ ] Michael J. Fox
[ ] other: _____________________________________________________________________________
# 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--------------
NAME:
RESIDENCE:
MARITAL STATUS (check one):
[ ] single
[ ] married
[ ] imprisoned
[ ] willingly enslaved
[ ] involved slut
[ ] "partnered," but employed by Disney and/or Southerners
CHILDREN?
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
[ ] too pretty to die
[ ] heirless/usurped royalty
[ ] revenge
[ ] I'm missing "Buffy."
[ ] other (please describe):
BODY:
[ ] human
[ ] elf
[ ] dwarf
[ ] halfling
[ ] non-humanoid (describe: __________________________)
[ ] Michael J. Fox
[ ] other: _____________________________________________________________________________
NECESSARY REPAIRS OR ALTERATIONS:
CAPITAL OF ASSYRIA:
FAVORITE COLOR (check one): [ ] blue [ ] yellow
AFFILIATION:
[ ] good
[ ] evil
[ ] cult (which:
Middle-Earth Sock Puppet Players [hon.]
)
[ ] neutral chaotic
PETS (if any):
# 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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