Informed Consent and Waiver of Liability

I, ______________________________________ (print name), voluntarily choose to participate in activities offered by RT220 LLC, including but not limited to community walking groups, fitness classes, strength training, stretching, wellness coaching, outdoor events, and other health and wellness activities led by Rosa Torres or authorized RT220 instructors.

I understand that participation in physical activity involves inherent risks, including but not limited to muscle strains, sprains, falls, dehydration, heat-related illness, heart-related events, injuries resulting from uneven terrain, sidewalks, weather conditions, motor vehicle traffic, and other risks associated with indoor or outdoor exercise.

I voluntarily assume full responsibility for any risks, injuries, damages, or losses that may occur as a result of my participation.

I certify that I am physically able to participate in these activities. I understand it is my responsibility to consult with my physician before beginning any exercise or wellness program if I have concerns regarding my health. I agree to participate only at a level appropriate for my physical condition and will stop immediately if I experience pain, dizziness, shortness of breath, or any other concerning symptoms.

In consideration of being permitted to participate, I voluntarily release, waive, discharge, and hold harmless RT220 LLC, Rosa Torres, RT220 LLC’s owner, instructors, employees, volunteers, agents, representatives, and any host facility or property owner from any and all claims, demands, causes of action, liabilities, damages, losses, costs, or expenses, including reasonable attorneys’ fees, arising from or related to my participation, except where prohibited by applicable law.

I understand that RT220 LLC does not provide medical treatment or medical advice and that participation is entirely voluntary.

RT220 LLC is committed to encouraging healthy stewardship of the body through faith-based wellness education and physical activity. Participation is voluntary, and each participant is responsible for exercising within their own abilities and limitations.

Should I require emergency medical treatment during an RT220 activity and I am unable to communicate, I authorize RT220 LLC to seek emergency medical assistance on my behalf. I understand that I am responsible for any medical expenses incurred.

I understand that this waiver applies to all RT220 activities unless otherwise stated and remains in effect for future participation unless revoked in writing.

Please check one:

☐ YES. I give permission to RT220 LLC to photograph or record me during activities and to use these images or videos for educational, promotional, marketing, website, and social media purposes.

Event Name: RT220 Community Wellness Walk

Location: Garret Mountain Reservation 8 Mountain Ave Woodland Park, NJ 07424

Date: 07/11/26

I acknowledge that I have carefully read this Informed Consent and Waiver of Liability, fully understand its contents, and voluntarily agree to its terms.

Participant Signature: ______________________________________

Date: ______________________________________

Parent or Legal Guardian Name: ______________________________________

Parent/Guardian Signature: ______________________________________

Date: ______________________________________