Name Name of Spouse
Occupation Spouse's Occupation
Address Employer
City, State, Zip
Home Phone: Work Phone:
EMAIL Address:
Home: Own Rent         How long there?
Please List the Zip Codes within a twenty-five minute radius of your potential Baby Power-Forever-Kids®™ location in order for Baby Power-Forever-Kids®™ to do a demographic analysis of the amount of children from ages six months to four years in your area. This will determine the initial amount of prospective clientele that you can look forward to prospecting.

Zip Code 1 Zip Code 2
II Where did you first learn about Baby Power-Forever-Kids®™?
Subsequent Exposure(s) to Baby Power-Forever-Kids®™?
What intrigued you about Baby Power-Forever-Kids®™?
III Personal Information
Age Range Under 25 25 - 29 30 - 34 40 - 45 Over 45
Family Married Single # of Children Ages
IV Educational Background
School/Location Major Degree Years Attended
High School
College
Graduate
V Work Experience
Company Business Type Postition Dates Responsibilities
VI Financial Information

Income
Available Liquid Capital
Approximate Net Worth
VII General Questions

Briefly describe your qualifications to own and manage a Baby Power-Forever-Kids®™ Franchise.
Why are you interested in running and operating a Baby Power-Forever-Kids®™ franchise?
Do you have or ever had an interest in a similar operation? If yes, explain.
What role will your spouse/business partner have in running the business?
How will you finance this business?
Will you be responsible for the day-to-day operations of the business? If not who will?
Who will teach Baby Power/Forever-Kids®™?
VII Location Preferences: (If 0pening more than one location)

1st Choice 2nd Choice 3rd Choice
VIII Training:

Your first Baby Power-Forever-Kids®™ Center will open 2-3 months after your initial 7 to 10-day training. With this in mind, indicate your choices of months for training:

1st Choice 2nd Choice 3rd Choice

We will contact you within the next few days and mail you an informational package.

PLEASE EMAIL A COPY OF YOUR RESUME TO: info@babypower.com