Images 4 Kids Franchise

Request a UFOC

No (If so, how many?)

First Name:

Last Name:

Date of Birth:

Citizen of:

Social Security or ID #:

Telephone

Home:

Work:

Mobile:

Fax:

Best time to contact you:
May we contact you at work? Yes No

Street Address:

City:

State/Province:

Postal Code:

How long have you lived at your current address:

Do you... Own; or Rent your home?

Email:

Marital Status:

Spouse's Name:

Do you have children living at home?

Yes No

Ages ?

Current Employer:

Position

Number Years::

Are you an owner, partner or officer in any other business?
Yes (if yes, please explain below) No

Have bankruptcy proceedings ever been instituted by or against you?	Yes	No

Have you ever been a party to any lawsuits, legal or criminal action?	Yes	No

Have you ever been convicted of a felony?	Yes	No

Have you ever been associated directly or indirectly with any terrorist activities?	Yes	No

Are you (or any other member of your immediate family) in the photography business, own a franchise, or currently under any form of non-compete agreement that might limit your rights to own and operate an Images 4 Kids franchise?	Yes	No

If you purchase a franchise, would this become your sole source of income?	Yes	No

Are you currently investigating other franchise offerings?	Yes	No

Do you have access to a financing source if needed?	Yes	No

Do you have any experience in professional or commercial photography?	Yes	No

Do you think you would enjoy working with children?	Yes	No

What is your current annual income from your present occupation?

Indicate your approximate net worth:	Under $100,000	$100,000 to $250,000	Over $250,000

Amount you have available to invest:	Under $25,000	$25,000 to $50,000	Over $50,000

If qualified, when would you like to start?	1 to 3 months	3 to 6 months	6 to 12 months

What area or city would you prefer to own an Images 4 Kids franchise:

Would you consider any other area? Yes No

(If yes, where):

How did you hear about Images 4 Kids ?

Briefly describe what appeals to you about this franchise:

Personal References:
Name	Address	Phone

None of the communications made through this Web site should be construed as an offer to sell any franchise in, nor is any such communication directed to, the residents of any jurisdiction requiring registration of the franchise before it is offered or sold in the jurisdiction. No franchises will be sold to any resident of any such jurisdiction until the offer has been exempted from the requirements of, or duly registered in and declared effective by, such jurisdiction and the required Uniform Franchise Offering Circular has been delivered to the prospective franchisee before the sale in compliance with applicable law, If you have any questions concerning the registration status of franchises in your jurisdiction, please contact Heather Hines at 972-484-5437.

I understand that the granting of a franchise is at the sole discretion of Franchisor (Images 4 Kids Franchising Corporation) and that any information I receive from the Franchisor or from any employee, agent or franchisee of the Franchisor is highly confidential ("Confidential Information"), has been developed with a great deal of effort and expense to the Franchisor, and is being made available to me solely because of this application. I agree that I shall treat and maintain all Confidential Information as confidential, and I shall not, an any time, without the express written consent of the Franchisor, disclose, publish, or divulage any Confidential Information to any person, firm, corporation or other entity, or use any Confidential Information, directly or indirectly, for my own benefit or the benefit of any person, firm, corporation or other entity, other than for the benefit of the Franchisor.

I authorize the procurement of an investigative consumer report and a background search in accordance with anti-terrorism legislation, such as the USA Patriot Act and Executive Order 13224 enacted by the US Government. I understand that this investigation may reveal information about my background, character, general reputation, mode of living, association with other individuals or entities, creditworthiness and job performance. I understand that, upon written request, within a reasonable period of time, I am entitled to additional information concerning the nature and scope of this investigation. I hereby release a representative of the Franchisor, a credit bureau, security consultant or other investigative service provider selected by the Franchisor, its officers, agents, employees, and/or servants from any liability arising from the preparation of the investigative consumer report and/or background search.
This authorization for release of information includes but is not limited to matters of opinion relating to my character, ability, reputation, association with others and past performance. I authorize all persons, schools, companies, corporations, credit bureaus, law enforcement agencies or other investigative service providers to release such information without restriction or qualification to a representative of the Franchisor, a credit bureau, security consultant or other investigative service provider selected by the Franchisor and any of its officers, agents, employees and/or servants. I voluntarily waive all recourse and release them from liability for complying with this authorization. This authorization/release shall apply to this as well as any future request for an investigative consumer report and/or background search by the above name individuals or entities. I authorize that a photocopy or facsimile of this release be considered as valid as the original.

Everything that I have stated in this application is true and I understand that the information provided by me will be relied upon by the Franchisor. In accordance with anti-terrorist legislation, I understand that I will not be approved to purchase a franchise if I have ever been a suspected terrorist or associated directly or indirectly with terrorist activities. I read, understand, and agree to all of the above.

I (Your Name) have read, confirm and agree to the above statement.