Thank you for your interest in Kahala brands. To properly evaluate your application, please provide us with all necessary information, sign and return to Kahala. Attach any additional information such as resume or letters of recommendation that you wish us to consider when evaluating your application. Should your discovery evolve to a franchise award please note that we will require copies of (including but not limited to) bank statements. All information will be treated as confidential and does not obligate either party. Thank you for taking time to complete and return your application.
Fields marked with * are mandatory.

Personal Information

*First Name: *Last Name: Date:
*Email: Gender: US Citizen:
Male Female Yes No
Present Address: Social Security #: Home Phone:
Home Phone Extension: Work Phone: Work Phone Extension:
*City: *State / Province: *Zip / Postal Code:
*Country: How long at this address? (Yrs): Previous Address:
City: State / Province: Zip / Postal Code:
Country: Birth Date: Best Time To Call:
Home Ownership: Marital Status: Spouse Name:
Own Renting Single Married
Spouse Social Security #: Spouse US Citizen: Spouse Birth Date:
Yes No

Assets & Liabilities



Cash on Hand & in Banks ($): Mortgages ($):
Marketable Securities ($): Accounts Payable ($):
Accounts / Notes Receivable ($): Notes Payable ($):
Retirement Plans ($): Loans on Life Insurance ($):
Real Estate ($): Credit Cards (Total Balance) ($):
Personal Property ($): Unpaid Taxes ($):
Business Holdings ($):    
Life Insurance (CSV) ($):    
Other Assets ($): Other Liabilities ($):
Description: Description:

Total Assets:

Total Liabilities:

Total Net Worth:


Real Estate Owned

Real Estate 1

Address: Date Purchased: Original Cost:
Present Value: Mortgage Balance:

Real Estate 2

Address: Date Purchased: Original Cost:
Present Value: Mortgage Balance:

Real Estate 3

Address: Date Purchased: Original Cost:
Present Value: Mortgage Balance:

Annual Sources of Income

Salary ($): Investment ($): Real Estate Income ($):
Spouse / Other ($): Description: Total ($):

Total Contingent Liabilities

Loan Co-signature: Legal Judgment: Income Taxes:
Other Special Debt: Total:

Specific Data

When would you be ready to invest in your franchise if you were approved?: What skills/experience do you have that will help you be successful in this business?: Why do you think this franchise will enable you to reach your personal goals?:
Who will be responsible for the daily operation of your store?: Amount of cash available for investment?: Have you been approved for financing?:
Yes No
Amount Approved ($): Would this business be your sole income source?: Do you have any contingent liabilities for guarantees, endorsements, leases etc ?:
Yes No Yes No
Are you now, or have you ever been party to any lawsuit - either as defendant or plaintiff ?: Have you ever been convicted of any offense (including misdemeanors for which you have fined $ 200 or more) ?:
Yes No Yes No
Have you ever been convicted of a felony?: If so, explain:
Yes No
Have you ever filed for bankruptcy?: Date Filed: Date Discharged:
Yes No

Area / Location Preferences

*Is this a Ready to Own location?: *Is this a New Build Out?:
Yes No Yes No
City: State / Province: City: State / Province:

Please list the three main questions you have about this business opportunity

Question 1: Question 2: Question 3:
Privacy Policy: Kahala is a multi-concept franchisor. The personal information you provide as part of your application may be shared with and between our affiliate brands. In addition, we may share your personal information with companies affiliated with us, vendors and partners as necessary for those companies, vendors and partners to perform business functions, such as fulfilling orders, assisting with promotions, providing marketing or advertising services, providing technical services for our website, etc. Except as described in this privacy policy, Kahala does not sell, transfer, or disclose personal information to third parties outside the Kahala brand portfolio. Kahala reserves the right to use or disclose any information as needed to comply with any law, regulation, court order or legal request, to cooperate in any law enforcement investigation or in connection with a sale or merger of all or part of Kahala, its parent or affiliates. Except as stated in this privacy policy, all correspondence from you with Kahala, it's parents or affiliates, is considered non-confidential except to the extent that such correspondence is subject to a separate confidentiality or non disclosure agreement. If you have any questions about this privacy policy, please feel free to contact us.

The Franchise Disclosure Document (FDD) is available to prospective franchisees in the following formats: (i) hard copy (paper): (ii) email message with PDF attachment: (iii) computer disc: (iv) for download through Franconnect's website. FDD received via emails, computer disc and Franconnect website are collectively referred to as "electronic formats". The prerequisite for obtaining an FDD in electronic format is that you must have access to a computer. Additionally, if you elect to receive FDD via email or Franconnect's website, you must have a valid email address and account. To download the FDD from Franconnect's website, you will receive an email message with the website address, log-in and password. Upon request Kahala Franchising, L.L.C. will provide an FDD to a prospective franchisee electronically, via email message or computer disc. If you prefer to receive the FDD in a hard copy please check the box below:

FDD Hard Copy

To view the FDD in electronic format, which is PDF read-only, you will need Adobe@ Reader. If you do not have Adobe@ Reader, you may download a free copy from the following site:

I certify that the information I have provided to Kahala is true and correct. I authorize Kahala to verify the information I have provided on this and any attached forms including, but not limited to, acquiring a credit verification report from a credit agency, acquiring a back ground check from a registered state agency, and to contact my named references and other sources for information about me. I hold Kahala, its affiliates, agents and employees harmless for any damages or liability arising either from the receipt or use of any information obtained through these sources I have provided.
*Electronic Signature: Date :