Lorem ipsum dolor sit amet, consectetur adipiscing elit. Sed sit amet nibh augue, consectetur adipiscing elit.

Name: Please enter your name in all capital letters, exactly 10 characters long, and with exactly 5 exclamation marks.

Section 2: Confession of Crimes

Crimes committed: Please list all crimes committed, with each one separated by exactly 5 exclamation marks.

Section 3: Proof of Sanity

Sanity level (scale 1-10): Please enter a number between 1 and 10, inclusive. Submit

Submit Form 12b: Optional Self-Validation

By signing this form, you agree to be completely and utterly insane.