Founding Member Interest

Founding Member Interest Form

Please complete the form to get started.
What's your name?

First NameLast Name
Best phone number to reach you?

Area CodePhone Number
What's your email address? We respect your time and privacy.
Where can we send your founding member invitation to join The Club & attend our Founders' Golden Hour celebration?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
We want to get to know you so we can best serve you

Please answer the questions below.
What health goals are you currently working on?
Are you currently receiving massages (within the last 3 months)?
Which areas of wellness would you love more support with?

Please select as many as you would like in each category.
Massage & Bodywork
Nervous System & Restoration
Speciality Wellness
Is there something else you're looking for? Please let us know.
What would make your visits feel truly exceptional? We'd love to hear what matters most to you—from the atmosphere and amenities to the quality of care, thoughtful touches, and the sense of community. Is there anything you've experienced elsewhere that you'd love to see us offer—or do even better?
Do you have any immediate questions we can help you with?
We are so grateful for your interest in becoming a Founding Member. We will be in touch with you soon!
Please note: If you are already a Self Care Club Member—

Your membership will automatically be upgraded to "Founding Member" status. We appreciate your continued love and support! We can't wait to share our new space and the member's amenities with you soon. Please call us with any questions or concerns: 804-445-5417.
Should be Empty:

Founding Member Interest Form

We want to get to know you so we can best serve you

Which areas of wellness would you love more support with?

Please note: If you are already a Self Care Club Member—