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Indemnity Waiver Form Template

Protect Yourself and Your Interests with an Indemnity Waiver Form

Your events or activities can come with unexpected risks, making it essential to have proper protections in place. This indemnity waiver form template is designed for organizers, businesses, and individuals looking to safeguard themselves from liability for injuries or damages. With this template, you benefit from easy customization, legal clarity, and ready accessibility to ensure your participants understand their responsibilities-helping you mitigate potential risks while enhancing trust and transparency. Explore how this template can support your needs and get started today.

Full name of participant
Date of birth
Email address
Phone number
Activity or program name
Activity date
Emergency contact full name
Emergency contact phone number
Medical conditions, allergies, or limitations (optional)
I understand the inherent risks of participating in the activity and accept responsibility for my own safety.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I release and discharge the organizer from liability for injury, death, or property loss to the extent permitted by law.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I agree to follow all rules, instructions, and safety guidance provided by the organizer.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
In a medical emergency, I consent to receive necessary treatment and understand I am responsible for associated costs.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I consent to the capture and use of my photo, audio, or video for legitimate organizational purposes (optional).
Yes
No
I have read and agree to the indemnity waiver terms and conditions.
Yes
No
Participant is under 18 years of age.
Yes
No
Parent/Guardian full name (if participant is under 18)
Typed full legal name (this will serve as your signature)
Signature date
Parent/Guardian confirms consent to this waiver on behalf of the minor.
Yes
No
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paper art illustration depicting an indemnity waiver form for FormCreatorAI article

When to use this form

Use this form when you host activities with a real risk of injury, illness, or property damage. For example, youth or family camps (see Camp liability waiver form), spicy food challenges or cooking classes (Spicy food waiver form), and product testing or demos (Product liability waiver form). It also fits fitness classes, volunteer cleanups, off-site retreats, and rental equipment use. You get clear consent for participants to assume risks and cover claims tied to their actions. Your team gains a signed record before anyone takes part, which helps reduce disputes and speeds check-in.

Must Ask Indemnity Waiver Questions

  1. What event or activity are you participating in, and on what dates and location?

    This scopes the release to a specific activity, time, and place. It reduces ambiguity and helps you match each submission to the right session.

  2. What is your full legal name, date of birth, and contact information?

    It verifies identity and age, which affects capacity to sign. Accurate contact details let you send notices and follow up on incidents.

  3. Do you acknowledge the risks involved and agree to release, defend, indemnify, and hold us harmless?

    This puts consent to risk and indemnity on record in clear terms. It strengthens enforceability and covers third-party claims and costs.

  4. Are you signing for yourself or as a parent or legal guardian of a minor, and do you have authority to sign?

    Capacity and authority are essential for a valid agreement involving minors. For youth programs, see the Summer camp waiver form to align your process.

  5. Do you agree to follow all safety rules and report any incident immediately, and who is your emergency contact?

    This shows your commitment to reasonable care and gives staff a clear reporting plan. An emergency contact helps us respond quickly if something goes wrong.

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