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FREE TEMPLATE / PERSONAL, FAMILY AND LEGAL

Release of Liability and Assumption of Risk

A release a participant signs before an activity, accepting its risks and releasing the organiser as far as the law allows. Only the participant signs, or a parent or guardian for someone under 18.

For the United States, Canada and Australia.

The PDF is free to download. Centilio Sign is free to start.

PERSONAL, FAMILY AND LEGAL / FREE TEMPLATERelease of Liability and Assumption of RiskDateDate of this releaseOrganiserOrganiserActivityActivityParticipant or parent or guardianSignature: Ready
PDF, 2 pages, 14 KB
THE DOCUMENT

Read it, fill it in, print it

The whole document, exactly as it prints. Type your answers and they appear in the document as you go. When it reads right, print it or save it as a PDF.

Release of Liability and Assumption of Risk

A release a participant signs before taking part in an activity run by the Organiser. Template v1.0.

Date: Date of this release

Organiser: Organiser

Activity: Activity

Date or dates: Date or dates of the activity

Location: Location

1. Who this covers

The organiser named above (the Organiser) runs the activity named above (the Activity). The person who takes part is the Participant. If the Participant is under 18, a parent or guardian signs for them and makes the promises in this release for the Participant and for themselves, as far as the law allows.

2. Risks

The Organiser has listed the main risks of the Activity below. Other risks may exist that no one can foresee.

Main risks:

Main risks

The Participant understands that the Activity carries the risks listed above and others that cannot be foreseen. These risks can lead to injury, illness, damage to property and, in rare cases, death. The Participant takes part by choice and accepts these risks.Initials, Participant or parent or guardian

3. Health and rules

The Participant will follow the rules and the instructions of the Organiser's staff, use the safety equipment provided and stop if they feel unwell or unsafe. The Organiser may stop anyone from taking part when it believes this is needed for safety.

The Participant is fit and healthy enough to take part and has told the Organiser about any condition that could affect their safety. Participant or parent or guardian

4. Release

As far as the law allows, the Participant releases the Organiser and its staff, volunteers and agents from claims for injury, illness, death, loss or damage arising from the Activity, including claims based on ordinary negligence, and agrees not to sue them for those claims. This release does not cover gross negligence, wilful or reckless acts, or anything else the law does not allow a person to give up.Initials, Participant or parent or guardian

5. First aid and emergencies

The Organiser's staff may give the Participant first aid and call emergency services if they think it is needed. Participant or parent or guardian

The Organiser will try to reach the emergency contact below as soon as it can. Any cost of emergency transport or medical treatment is the Participant's to pay, unless insurance covers it or the Organiser is legally responsible for it.

Emergency contact name: Participant or parent or guardian fills this in when signing

Emergency contact phone: Participant or parent or guardian fills this in when signing

6. General

This release is the whole agreement about its subject. If a court finds any part of it cannot be enforced, that part is limited as far as needed and the rest still applies. The Participant has read this release, has had the chance to ask questions and signs it freely.

If a parent or guardian signs for a Participant under 18, they write the Participant's full name here.

Name of Participant under 18: Participant or parent or guardian fills this in when signing

Participant or parent or guardianSignatureNameDate
THE DOCUMENT

What it covers

The template has 6 parts.

  1. Who this covers
  2. Risks
  3. Health and rules
  4. Release
  5. First aid and emergencies
  6. General
BEFORE YOU START

What you will be asked

Have these details ready. The template needs them before anyone signs.

  • What is the activity?
  • When does it take place?
  • Where does it take place?
  • What are the main risks of the activity?
THE PEOPLE

Who signs

Everyone the template names, and what each one does.

  • Participant or parent or guardianSigns
THE RIGHT TEMPLATE

Where it fits

For sports, fitness, classes, tours and other activities with physical risk. Not for the UK, where the law limits such releases. Use the field trip permission slip for a school trip.

A CAREFUL CHECK

Before you rely on it

Original Centilio wording, not legal advice. Releases are limited or not allowed in some places, such as Quebec, and the rules for minors differ by state and province. Have a local lawyer check the release and the risks for your activity before you approve it.