Release of Liability (Waiver) Form

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Updated Mar 27, 2025
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A Release of Liability Form is a legal document between two parties where one agrees not to hold the other responsible for injuries or damages. It is used to minimize legal risks before engaging in activities or services.

RELEASE OF LIABILITY FORM

The Releasee

 

 

The Releasor

 

 

Activity

Title:  
Date:  

Release of liability

While participating in the above activity, I, the undersigned Releasor, acknowledge and agree to the following: 

Acceptance of risks. I realize that participation in the above activity involves specific risks and dangers. I voluntarily undertake all risks associated with the event, including but not limited to  .

Indemnification. I hereby release, discharge, and hold harmless  , the officers, employees, agents, and representatives from any claim, liability, demand, action, or cause of action arising out of or related to any loss, damage, or injury I may incur during or as a result of my participation in the above activity.

Compliance with the rules. I agree to comply with all rules, regulations, and instructions provided by   related to the event.

Liability for damages. I understand that I am responsible for any damage to  's property and equipment caused by my intentional or negligent actions during the activity, and I agree to refund the full price of any repairs or replacement.

Insurance. I acknowledge that   does not provide insurance coverage for releasors, and I am solely responsible for obtaining my insurance coverage should I decide to do so.

Emergency medical treatment. In case of an emergency, I give   full authority to provide and arrange any necessary medical treatment. Please call   at   in case of emergency.

Photography and images. I authorize   to use, reproduce, and/or distribute photographs, videos, or other media of me taken during the activity for promotional or other purposes.

 .

Governing law

This Release of Liability will be governed by and construed in accordance with the laws of the State of  , except for its conflicts of laws principles. Any disputes arising from or related to this Release of Liability that cannot be resolved by negotiations and mutual agreement shall be resolved by courts of the State of  .

I have read and understood the terms of this Release Form, and by signing this release, I voluntarily surrender specific legal rights.

________________________

(Place for signature)

 

 ,  

Written by Karyna Pukaniuk - Reviewed by Jonathan McGill

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Template Description

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Paper titled "Release of Liability Form"; a woman shaking hands with a man standing near the desk

A general release of liability form is a document through which one party agrees not to hold another party responsible for any potential injuries, damages, or losses that may take place during a specific activity or transaction. 

When To Use a Release of Liability Form

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A general liability release form is often used when someone participates in an event or activity that could be risky.

Common situations

  • Sports or fitness activities (e.g., gyms, marathons, extreme sports);
  • When selling a used car;
  • As part of a settlement agreement in legal disputes;
  • Before allowing someone to be photographed or recorded for media purposes;
  • When obtaining medical records with patient permission.

When not to use a release of liability form:

A simple release of liability form cannot protect against all legal claims. It cannot be used: 

  • In cases of gross negligence or intentional harm;
  • To pass responsibility that legally cannot be waived (e.g., employer responsibilities for workplace injuries);
  • In situations that involve minors, unless the document is signed by a parent or guardian;
  • If the agreement violates public policy or laws. 

How To Fill in a Release of Liability (Waiver) Form: Step-by-Step

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Step 1: Identify the parties

Part of the free release of liability form
  • Write the full name, address, and contact information of the person protected from liability in “The Releasee” section;
  • Write the full name, address, and contact information of the person who gives up liability in “The Releasor” section.
Example:

Mary Smith

310 Broadway, apt 18, Fargo, North Dakota, 58102

[email protected]

(706)2367586

Step 2: Describe the activity or event

Part of the free waiver of liability form
  • Identify the purpose of the event in the “Activity” section of the waiver form;
  • Name the activity;
  • Write the date and time when the activity will occur;
  • Add the information about the location where the activity will take place.
Example:

Title: Birthday party

Date: 13/07/2026, 10.00 AM-5.00 PM

Club Kids, Fargo, North Dakota

Step 3: Specify the risks or responsibilities being waived

Part of the free release of liability form
  • Enumerate the risks assumed in the “Acceptance of risks” section.
Example:

Personal injury, property damage, noise.

Step 4: Identify actions in case of emergency

Part of the free liability waiver form
  • Add the name of a person who can be reached in an emergency in the “Emergency medical treatment” section.
  • Provide the phone number of the responsible person.
Example:

Please call Jacob Smith at (967)1741927 in case of emergency.

Step 5: Additional terms

Part of the release of liability form
  • If you allow the images taken during the event to be used by other people, add the name of the person having this permission in the “Photography and images” section.
  • If you want to add any other terms to the form, mention them in the “Other terms” section. 
Example:

Other terms: Lost or stolen personal belongings.

Step 5: Confirm the governing law

Part of the general release of liability form PDF
  • Name the state of the laws that will apply to the agreement in the “Governing law” section.
  • Choose the state where the court will initiate proceedings if the parties breach the agreement in the “Jurisdiction” section.
Example:

The release of liability will be governed by and construed in accordance with the laws of the State of North Dakota.

Step 6: Sign the form

Signatures part of the simple release of liability form
  • Add the signatures of both parties;
  • Put the date of signing;
  • Add information about the place of signing.
  • Always keep a copy of the signed liability waiver form.
  • If unsure about legal terms, consult a lawyer before signing.
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