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COVID-19 Liability Waiver Form Template

Streamline Your Risk Management with a Custom Waiver

Faced with the uncertainties of COVID-19, you need a simple way to protect your business while ensuring client safety. This COVID-19 Liability Waiver Form Template helps businesses like yours effectively communicate risks and obtain informed consent from clients. You can customize it with your logo, collect electronic signatures, and securely store completed waivers all in one place, simplifying your risk management process while providing peace of mind, ensuring compliance with legal standards, and reducing the chance of disputes. Explore the functional capabilities of this template today.

Participant full name
Email address
Mobile phone number
If signing for a minor, minor participant full name
Are you at least 18 years old?
Yes
No
Organization or event name
Event or participation date
In the past 10 days, have you had COVID-19 symptoms or tested positive?
Yes
No
Prefer not to say
I will follow all health and safety measures required by the organizer and venue.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I understand COVID-19 is contagious and exposure may occur in public settings.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I voluntarily assume the risk of exposure to COVID-19 related to my participation.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I release the organizer from liability for COVID-19 related claims to the extent permitted by law.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I agree to indemnify the organizer for claims arising from my participation, except to the extent caused by the organizer's gross negligence or willful misconduct.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I understand this waiver is intended to be as broad and inclusive as permitted by applicable law.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I confirm that I have read and accept the COVID-19 liability waiver terms stated above.
Yes
No
Signer's full legal name
Signature date
Signature
I am signing as
Participant (18 or older)
Parent/Guardian of minor participant
Authorized representative/agent
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When to use this form

Use this form any time you invite people to an in-person activity, class, or event where respiratory illness exposure is possible. It suits gyms, studios, youth leagues, offices, camps, salons, and venues. You capture informed consent, screen for recent illness, and set safety rules before someone arrives, which speeds check-in and reduces disputes. Coaches can pair it with a Sports training liability waiver form for season sign-ups. Running an indoor game or team challenge? The Escape room waiver form can cover activity rules while this form handles health risk acknowledgment. You benefit from clear records, and participants know what to expect and what they agree to.

Must Ask COVID-19 Liability Waiver Questions

  1. Do you acknowledge the inherent risk of COVID-19 exposure and agree to assume that risk?

    This confirms informed consent and shows the participant understands the activity cannot be risk-free. Clear consent reduces disputes and supports your risk management.

  2. Have you experienced COVID-19 symptoms or tested positive in the past 10 days?

    This helps you screen out higher-risk attendees and decide whether to reschedule. It protects the group and creates a record of your safety steps.

  3. Have you had close contact with a confirmed COVID-19 case in the past 10 days?

    Contact history guides entry decisions and allows you to apply your policy consistently. Documenting answers helps show you acted with reasonable care.

  4. Do you agree to follow all site safety rules, including hygiene, distancing, and any mask or testing requirements?

    This sets clear expectations for conduct and makes enforcement simpler. If you also run classes, the Yoga waiver form can cover activity risks while this question sets behavior standards.

  5. Do you agree to release and hold harmless [Organization name] from claims related to COVID-19 exposure, except in cases of gross negligence or willful misconduct?

    This makes the release explicit and clarifies its limits, which improves enforceability. It reduces liability risk while remaining fair to participants.

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