Interest Form

Licensee Interest Form

Licensee Interest Form

Thank you for considering becoming a part of Keep Safe Care. Presently we are offering individuals licenses who might be interested in either becoming a Keep Safe Care Affiliate franchisee or a licensed Keep Safe Care Associate. There is NO obligation, and we will send you more information upon request. Please let us know where and when you are interested in starting on the form below and we will be in touch.

Name
Name
Choose your interest
Where do you want a license?
When do you think you would like to start?