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Licensee Interest Survey

Personal Information
* First Name * Last Name
Address Line 2
City State      Zip  
* Phone Number * Email Address
Children (& ages) Marital Status
Further Education
College / University Graduate University
Dates Attended Dates Attended
Major Major
General Questions
Briefly explain the main reason(s) for your interest in entering into a U.K. Petite License agreement
Briefly describe your qualifications to enter into a U.K. Petite License agreement
Have you ever had an interest in a similar operation (if yes please explain)
Would you be responsible for the day to day operation of the business? If not who will?
Who would teach the U.K. Petite Camps and Programs?

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