Expression of Interest and Preliminary Participation Acknowledgment

That Others May Live Foundation (TOMLF), in collaboration with program partners and qualified professionals, is developing a comprehensive retreat opportunity designed to support the health, wellness, resilience, connection, and overall well-being of individuals who serve or have served within the rescue community.

Retreat programming may incorporate multiple areas of health and wellness, including physical performance and movement, nutrition, mental and emotional wellness, recovery, education, resilience, and other supportive services or activities. Programming may be provided by TOMLF personnel, partner organizations, licensed or credentialed professionals, facilitators, and other subject-matter experts.

This form represents the first step in expressing interest in participating. Submission does not constitute acceptance, enrollment, or confirmation of attendance. Additional screening is required before individuals are accepted into the program.

1.    Voluntary Expression of Interest. I understand that expressing interest in this retreat is entirely voluntary. I am under no obligation to participate and may withdraw my interest at any time before formally accepting a place in the program.

2.    Additional Screening and Program Eligibility. I understand that completion of this form is only the first step in the participation process. If I meet the initial program criteria, I may be contacted to complete additional screening, provide additional information, and/or participate in a screening conversation before a participation decision is made. I understand that submission of this form does not guarantee acceptance or participation.

3.    Individualized and Multidisciplinary Programming. I understand that the retreat may include programming delivered by professionals or organizations representing different areas of health, wellness, and performance. Depending upon the final program, these may include:

• Physical performance, fitness, movement, and recovery;
• Nutrition and wellness education;
• Mental and emotional health and resilience;
• Physical therapy, mobility, or injury-prevention education;
• Stress management and mindful resilience;
• Peer connection and facilitated group activities;
• Recreational, outdoor, or experiential activities; and
• Other educational or wellness programming appropriate to the retreat.

Specific activities and providers may vary based on the retreat, participant needs, availability, and program design.

4.    Purpose of Screening. I understand that additional screening is intended to help TOMLF and its program partners determine whether the retreat and its activities are appropriate for me and whether reasonable considerations or accommodations may be necessary for safe and meaningful participation.

Screening may include questions regarding my general health, physical limitations, injuries, dietary considerations, accessibility needs, and other information relevant to retreat participation.

I agree to provide accurate and complete information during the screening process.

I understand that identifying a health condition, injury, limitation, disability, or need for accommodation does not automatically exclude me from participation.

5.    Health and Wellness Considerations. I understand that some retreat activities may involve physical movement, exercise, group participation, outdoor or recreational activities, discussions involving personal experiences, or other activities that may be physically or emotionally demanding.

If accepted, I agree to communicate relevant limitations or concerns and to participate within my individual abilities. I understand that I may decline, modify, pause, or discontinue an activity when necessary for my health, safety, or well-being, subject to any safety requirements established by the program or activity provider.

6.    Professional Services and Scope of the Retreat. I understand that the presence or participation of licensed, credentialed, or otherwise qualified healthcare and wellness professionals does not, by itself, establish an individual physician-patient, therapist-client, counselor-client, physical therapist-patient, dietitian-client, or other professional treatment relationship.

Unless expressly communicated and separately agreed upon, retreat programming is intended primarily for education, wellness, resilience, prevention, performance, and supportive purposes and is not a substitute for individualized medical or mental health evaluation, diagnosis, or treatment.

7.  Program Partners and Independent Providers. I understand that certain retreat activities or services may be provided by independent partner organizations, professionals, contractors, or facilitators working in collaboration with TOMLF.

If I am selected for participation, certain activities may require additional acknowledgments, informed consent documents, releases, or other documentation specific to the organization or professional providing that activity.

8.  Participation Requirements. If selected for the retreat, I understand that I may be required to complete additional documentation before my participation is confirmed, including, as applicable:

• Additional eligibility or participant screening;
• Health and safety information;
• Emergency contact information;
• Participation waiver and release of liability;
• Activity- or provider-specific acknowledgments or waivers;
• Program expectations and standards of conduct;
• Travel and lodging information;
• Attendance and cancellation policies; and
• Optional media/photo authorization.

Failure to complete required documentation by established deadlines may result in my place being offered to another eligible participant.

9.  Safety and Respectful Participation. I understand that TOMLF and its program partners are committed to providing a safe, respectful, and supportive environment.

If accepted, I will be expected to comply with applicable safety requirements, facilitator instructions, program guidelines, and standards of respectful conduct.

TOMLF and/or the applicable activity provider reserve the right to modify, restrict, or discontinue an individual's participation in an activity when reasonably necessary to protect the health, safety, or well-being of the participant or others.

10. Costs and Commitment. I understand that TOMLF and its partners may incur significant costs associated with each accepted participant, including programming, professional services, lodging, meals, transportation, supplies, and other retreat expenses.

If selected, I will receive information regarding attendance expectations, cancellation requirements, and any applicable financial responsibilities before I formally commit to participation.

11. Future Participation Documents. I understand that this preliminary acknowledgment is not a participation waiver or general release of liability.

If I am selected for the retreat, I will receive applicable participation agreements, waivers, releases, informed consent documents, and other required materials for review before my participation is finalized.

12. Acknowledgment. By submitting this form, I acknowledge that I have read and understand the information above.

I understand that:

• I am expressing interest in the retreat and have not yet been accepted;
• Additional screening is required before participation;
• The retreat may involve multiple partner organizations and professionals;
• Specific activities and providers may vary;
• Submission of this form does not guarantee acceptance or a place in the retreat; and
• Additional agreements, waivers, and participation requirements may apply if I am selected.