Kid to Kid

Personal Information
*Indicates a required field

*Name:
*Phone:
Cell:
*Email:
Education:
Spouse's Name:

*Address:
*City:
*State:
*Zip:
Ages of Children:
Referred By:

Employment History

From

Company

Position

Salary

Additional Information

Do you plan on having a partner?	Yes No	Name:
Will this business be your sole source of income?	Yes No
What profits do you anticipate producing?	Year 1 Year 2 Year 3

How soon would you like to open a store?

Financial Data
*All fields in this section are required.

Assets:
	*Cash:
	*Stocks/Bonds:
	*Residence:
	*Other Real Estate:
	*Auto:
	*Other:
Total Assets:

Liabilities:
	*Mortgage (Residence):
	*Mortgage (Other):
	*Credit Cards:
	*Other Loans:
	*Other Liabilities:
	*Total Liabilities:
*Total Net Worth (assets-liabilities):

Other Important Information

I understand that the information I receive from and give to Kid to Kid is highly confidential and will be held in the strictest of confidence by both parties. I agree not to divulge or use any trade secrets, policies, procedures, systems, material or other proprietary information of Kid to Kid.

Nothing contained in this site is an offer to sell franchises. An offering can only be made by a prospectus filed with the appropriate authority in the state in which you reside.
*Source: Lino, Mark Expenditures on Children by Families 2001 Annual Report US Department of Agriculture