Franchise Application

Personal Info

* Application Type

Former Instructor #

* First Name

* Last Name

* Email

* Gender

* Birth Date

* Primary Phone #

Secondary Phone #

Address

* Please use a physical mailing address. P.O. Box address is not accepted

* Street Line 1

Line 2

Line 3

* City

* State

* Zip/Postal Code

* Country

Other Info

Where do you take Jazzercise?

* Location and date of new franchisee training you would like to attend (MM/DD/YYYY)

* Have you ever been convicted of a felony?

* Are you a US citizen?

* Do you have documentation required to own a franchise in the U.S.?

*After you click ‘Submit’, check your email for movement screening instructions.

*Maximum number of applications allowed is 3

This website is not intended nor shall it be deemed to be the offer of a franchise or business opportunity. Information available on this website should be considered only in connection with the Franchise Disclosure Document. No franchises or business opportunities will be offered in states or other jurisdictions where registration is required unless we have complied with such laws and only after any required disclosure has been provided.