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Personal Injury Waiver Form Template

Streamline Your Liability Management with This Essential Template

Accidents can happen, even in the safest environments, and not having a waiver can leave you exposed. This Personal Injury Waiver Form Template is designed for event organizers, sports coordinators, and activity facilitators, ensuring that you can minimize legal risks effectively. By using this template, you can protect yourself from liability, easily customize your terms, and create a professional appearance, all while ensuring compliance with legal standards. This user-friendly template is ready for you to adapt-explore it now!

Participant full legal name
Date of birth
Email address
Mobile phone number
Activity or event name
Activity date
Activity location
List any medical conditions that could affect participation, or write None
List any allergies and current medications, or write None
Emergency contact full name
Emergency contact phone number
I understand that participation may involve inherent risks, including the risk of injury, illness, or property damage
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I voluntarily assume all risks associated with my participation
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I release and discharge the organizer, its employees, volunteers, and agents from liability for claims arising from my participation, except where prohibited by law or resulting from gross negligence or willful misconduct
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I agree to indemnify and hold harmless the organizer from claims arising out of my acts or omissions during participation
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I certify that I am physically fit to participate and have not been advised otherwise by a medical professional
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I consent to receive emergency medical treatment if necessary and accept responsibility for associated costs
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I grant permission for the organizer to use my image and likeness in photos or videos for lawful promotional purposes without compensation
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Parent or legal guardian full name
Parent or legal guardian phone number
As the parent or legal guardian, I consent to the minor's participation and agree to the terms of this waiver
Strongly disagree
Disagree
Neither
Agree
Strongly agree
By typing my full legal name, I sign this waiver
Date of signature
{"name":"Participant full legal name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Participant full legal name, Date of birth, Email address","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a personal injury waiver form for a template article on FormCreatorAI.

When to use this form

Use this waiver when you run activities with a risk of injury: fitness classes, leagues, races, camps, workshops, or off-site trips. It protects your organization and sets clear terms before someone participates. Collect risk acknowledgments, medical details, and emergency contacts in one place. Gyms and studios may also need the Fitness liability waiver form. Ranges and instructors can pair this with the Shooting waiver form. For one-off events or volunteer days, a broader Release and waiver of liability form may fit better. The result: fewer disputes, faster check-in, and a written record that helps manage risk.

Must Ask Personal Injury Waiver Questions

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

    This verifies identity so the agreement matches the right person and age. It also gives you a reliable way to reach them about updates or incidents.

  2. Who is your emergency contact, and what is their phone number?

    Quick contact speeds response if something happens. Having a number on file can save minutes when they matter most.

  3. Do you have any medical conditions, allergies, or medications we should know about?

    Knowing conditions helps you plan and reduce risk. Staff can tailor instructions or stop participation if a condition makes the activity unsafe.

  4. Do you understand the inherent risks and agree to release the organizer from liability, to the extent permitted by law?

    Clear consent shows the participant understands hazards and agrees to limits on claims. If you operate a facility, align this clause with any facility agreement, such as a Fitness center waiver form.

  5. If the participant is a minor, are you the parent or legal guardian providing consent?

    Minors cannot enter contracts the same way adults can. Guardian consent helps ensure the waiver is enforceable and clarifies who must be contacted and informed.

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