RELAX & RECHARGE LEGACY INITIATIVE

Wait List Sign-up Form

Relax Recharge Wait List

CONTACT INFORMATION

Name
Name
First Name
Last Name

ORGANIZATION PROFILE

What best describes your organization?
Do you own or control your facility space?
Approximate square footage available for a Relax & Recharge™ Room:

VISION ALIGNMENT

Who would this primarily serve?

READINESS & INVESTMENT

When are you looking to launch?
Are you prepared to invest in a licensed infrastructure model?
Which Relax & Recharge Legacy Tier are you interested in?
At AI Wellness, we offer financing option to our partners. Are you interested in applying for financing?
Which license tier are you most interested in?
Would you like to schedule a visit to try out the treatments at our Center of Excellence?
We are located at 2080 Century Park East, Suite 1204, Los Angeles, CA 90067

IMPACT ALIGNMENT

Are you aligned with a profit + purpose model that supports youth transformation?

LEGAL ACKNOWLEDGMENT, WAIVER & CONTACT CONSENT

By submitting this Interest Form, you acknowledge and agree to the following:

Non-Binding Inquiry

This submission is an expression of interest only and does not constitute a franchise offering, partnership agreement, territorial grant, or contractual obligation.

Selective Licensing Model

Relax & Recharge™ operates under a curated licensing structure. Submission does not guarantee approval, exclusivity, or partnership status.

Confidential & Proprietary Infrastructure

All systems, branding, protocols, operational frameworks, and infrastructure components are proprietary intellectual property.

By requesting further information, you agree:

Not to replicate, duplicate, reverse engineer, or distribute the model.

Not to use any framework without written authorization.

Not to represent yourself as a partner without formal approval.

Financial & Performance Disclaimer

Any financial projections or ROI illustrations shared during evaluation are estimates only and do not guarantee income or profitability. Results vary by leadership, execution, and market conditions.

Wellness Disclaimer

Relax & Recharge™ provides wellness, recovery, and resilience infrastructure. It does not replace licensed medical diagnosis or treatment unless implemented within a licensed medical facility under proper supervision.

Impact Participation

Applicants acknowledge that the licensing model includes participation in youth advancement initiatives as part of its mission-driven structure.

CONTACT CONSENT

By submitting this form, you consent to being contacted by the Relax & Recharge™ licensing team via email, phone, or virtual meeting regarding your inquiry.

Qualified applicants may be contacted to:

• Review alignment and readiness

• Receive the Licensing Overview Deck

• Discuss financial structure and implementation

• Schedule a Discovery Strategy Call

AGREEMENT
Full Legal Name
Full Legal Name
First Name
Last Name