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Swimming Pool Waiver Release Form Template

Easily Protect Your Pool with This Waiver Template

Worried about accidents at your pool? This swimming pool waiver release form template is designed for homeowners and property managers like you to minimize liability risks. With this template, you can easily set clear expectations, document consent, and keep a record of guest safety agreements, all of which can help shield you from potential lawsuits. Tailored for easy use on mobile devices or computers, it's a straightforward way to ensure peace of mind while hosting poolside fun. Explore this user-friendly template today to protect your pool.

Participant full name
Date of birth
Email
Phone number
Mailing address
I am completing this form as
I am the participant
I am the parent or legal guardian of the participant
Parent/guardian full name
Relationship to participant
Parent/guardian phone
Parent/guardian email
Emergency contact full name
Emergency contact relationship
Emergency contact phone
Can the participant swim independently?
Yes
No
List any medical conditions, allergies, or medications relevant to pool use
If accommodations are needed, please describe
Do you require any accommodations to participate safely?
Yes
No
I have reviewed and will follow all posted pool rules and staff instructions
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I will follow safety instructions and use equipment only as directed
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I understand that children must be directly supervised by a responsible adult at all times
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I understand that aquatic activities involve inherent risks, including slips, falls, and drowning
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I voluntarily assume all risks associated with my or my minor child's use of the pool
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I release, waive, and hold harmless the facility, its owners, and staff from claims to the fullest extent permitted by law
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I agree to indemnify the facility against claims arising from my or my minor child's participation
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I authorize emergency medical evaluation and treatment if necessary
Yes
No
I confirm that the information provided is accurate
True
False
I consent to the use of photos or videos of the participant for promotional purposes
Yes
No
Preferred method for important updates or closures
Email
Text message
Phone call
Any of the above
Facility or program name
Date of participation or start date
Signature of participant or parent/guardian
Printed name of signer
Date signed
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Paper art illustration depicting a swimming pool waiver release form for FormCreatorAI article.

When to use this form

Use this template when you let guests, members, or renters use your pool. It fits swim schools, HOAs, short-term rentals, gyms, hotels, camps, and private homes. Before open swim, a pool party, or lessons, it gathers risk acknowledgment, emergency contacts, swim ability, and parent consent. Landlords reduce exposure for a pool at a vacation rental or a multifamily property. Staff save time with a single form they can use on mobile or print for sign-in. If swimming is part of a larger gathering, pair it with the Event waiver form. For activities beyond the water, you can standardize coverage with the Participation waiver and release form.

Must Ask Swimming Pool Waiver Release Questions

  1. Do you agree to release the property owner and organizers from liability and assume the risks of swimming?

    This creates clear consent and strengthens your risk management. It documents that water depth, slippery surfaces, and pool equipment can cause injury.

  2. What is your swimming ability, and do you need a life jacket or direct supervision?

    Knowing ability helps you set lane access, deep-end limits, and rescue readiness. It lowers incident rates and guides staffing.

  3. Do you have any medical conditions, medications, or allergies we should know, and who is your emergency contact?

    This speeds response if there is an issue and informs staff about asthma, seizures, or heart concerns. It ensures you can reach the right person fast.

  4. Will you follow all posted pool rules and staff instructions, including no diving in shallow areas?

    A rules commitment supports consistent enforcement and safer behavior. If the swim is part of a larger gathering, combine your records with the Event waiver form.

  5. For minors, are you the parent or legal guardian, and do you give consent and accept responsibility?

    This secures lawful permission and clarifies who makes medical decisions. It is essential for camps, clubs, and HOAs.

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