I request permission for a leave of absence from the highest authority in my life for the following period:
Time of return __________________
Date: Time of departure: NOT to exceed:_________________
Should permission be granted, I do solemnly swear to only visit the locations stated below, at the stated times. I agree to refrain from hitting on or flirting with other women. I shall not even speak to another female, except as expressly permitted in writing below. I will not turn off my mobile after two pints, nor shall I consume above the allowed volume of alcohol without first phoning for a taxi AND calling you for a verbal waiver of said alcohol allowance.
Amount of alcohol allowed (units) Beer Wine Liquor Total _____________
Locations to be visited ________________________
Females with whom conversation ________________________ is permitted
IMPORTANT – STRIPPER CLAUSE: Not withstanding the female contact permitted above, I promise to refrain from coming within one hundred (100) feet of a stripper or exotic dancer. Violation of this Stripper Clause shall be grounds for immediate termination of the relationship.
I acknowledge my position in life. I know who wears the trousers in our relationship, and I agree itÂ’s not me. I promise to abide by your rules & regulations.
I understand that this is going to cost me a fortune in chocolates & flowers. You reserve the right to obtain and use my credit cards whenever you wish to do so.
I hereby promise to take you on an unlimited shopping spree, should I not return home by the approved time. On my way home, I will not pick a fight with any stranger, nor shall I conduct in depth discussions with the said entity. Upon my return home, I promise not to urinate anywhere other than in the toilet. In addition, I will refrain from waking you up, breathing my vile breath in your face, and attempting to breed like a (drunken) rabbit.