Worshipful Protector of Human Resources
Baptismal Ritual Victim Candidate
Review Log
Worldly
Designation_________________________________
Age_____ Sex_____ Sexual
Preference______ Caucasian_____ African______
Weight_________ Height_______ Hair_______ Hispanic______ Asian_______
Health
Appearance
(mark appropriately) Poor Fair Average Good Excellent
Personality
(mark appropriately)
Introvert/Reclusive Quiet Average Outgoing
Dynamic
Health
Care Provider___________________________
Terminal
Illness____ STD or
similar history____ Mental Illness_____
Communicable
Disease____ Blood Borne
Disease____ Drug/Alcohol abuse_____
If you marked any of the above
conditions, please elaborate on the lines below and provide any additional history relevant to the Indisputable Chieftain’s approval of this victim candidate:
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please disclose all prescription
medication the victim candidate takes________________________
_________________________________________________________________________________
This space reserved exclusively for the
Indisputable Chieftain’s comments
***
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