Please Note: This form should be used to apply for franchising consideration only.
How did you hear about us?
Have you visited Okie Dokie?:
I am most interested in:
Please provide name and phone number for each partner
(Individual applications are required on all partners)
Day Time Phone:*
May we Contact you at work?:
** must be 18 years or older.
High School: None1 year2 years3 years4 years College: None1 year2 years3 years4 years Masters PHD
1 year2 years3 years4 years
Grade or Degree Attained:
Do you currently own a day care?
If yes, Business Name & Type?
Are you currently under Non-Compete Agreement of any kind?
Income from present Occupation:
Do you own your home?
If so, what is the current value?
What is your mortgage balance?
How much capital do you have available to invest in an Okie Dokie Center?
Cash in Bank:
Notes Payable Bank:
U.S. Gov & Marketable Securities:
Notes Payable Other:
Real Estate Owned: (purchase price)
Real Estate Mortgages:
Automobile & Other Vehicles:
Net Worth: (Assets - Liabilities)
Do you have a financing source?
If so, in what amount?
Have you had any claims or litigation which you were involved in during the past 5 years?
If Yes, Explain:
Have you ever filed for bankruptcy, had a real estate loan foreclosure, or had any liens against you?
Have you ever been convicted of, or plead guilty or "NOLO CONTENDERE" to any Felony Offenses?
EVERYTHING STATED IN THIS APPLICATION IS TRUE AND ACCURATE, AND I UNDERSTAND THAT THE INFORMATION PROVIDED BY ME WILL BE RELIED UPON BY THE FRANCHISOR, DIEGO & FRIENDS, LLC. ("D&F"). I understand that the granting of a franchise is at the sole discretion of D&F and that acceptance of this Application is not a grant of a franchise. Franchises are granted only by execution of a written Franchise Agreement.
I understand that any information I received from D&F or from any employee, agent, or franchisee of D&F is highly confidential ("Confidential Information"), has been developed with a great deal of effort and expense to D&F, 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, at any time, without the express written consent of D&F, disclose, publish, or divulge any Confidential Information to any person, firm, corporation or entity, or use any Confidential Information, directly, for my own benefit or the benefit of any person, firm, corporation or other entity, other than for the benefit of D&F.
I authorize the release of any information deemed necessary by D&F to verify any and all of the information contained herein. This authorization for release of information includes but is not limited to matters of opinion relating to my background, mode of living, credit worthiness, character, ability, reputation and past performance. I understand that I have a right upon written request to the franchiser D&F to provide information regarding the nature and scope of such investigation. I authorize all persons, schools, companies, corporation, credit bureaus, and law enforcement agencies to release such information without restriction or qualification to investigatory parties selected by D&F, any of its officers, agents, employees and servants. I voluntarily waive all recourse and release them from liability for complying with this authorization. This authorization and release shall apply to this as well as any future information request. I authorize that a photocopy or facsimile of this authorization and release be considered as valid as the original.
Confirm this statement with your initials:*
© Copyright 2012. Okie Dokie. All Rights are Reserved.