Participant Information

If the participant is under 18, enter a parent or guardian's details.
If the participant is under 18, enter a parent or guardian's details.
Is the participant under 18?
Address

Facility Use

Areas or Equipment You'll Use

Emergency Contact

Facility Rules and Waiver

[Business Name] Facility and Equipment Use Waiver

This waiver covers every visit to [Facility Name and Address] for [12 months] from the date signed.

Using the facility and equipment carries risks, including [falls, strains, equipment failure, and contact with other users]. Check equipment before you use it, use it only as shown, and stop if you feel unwell.

Facility rules: [List your key rules, such as sign in at the desk, closed-toe shoes, and under-[age]s supervised by an adult at all times.]

By signing, you release [Business Name] and its staff and volunteers from claims for injury, loss, or damage arising from your use of the facility, to the extent the law allows.

If the participant is under 18, the parent or guardian signing accepts these terms on their behalf.

[Have these terms reviewed for your area, then delete this line.]

Assumption of Risk
Release and Waiver
Rules and Damage
Clear Signature
If the participant is under 18, a parent or guardian signs here.

If people use your space or equipment on their own, such as an open gym, a climbing wall, a makerspace, or a community workshop, you want a signed liability waiver on file before their first visit. This Liability Form Template collects one waiver that covers every visit for a period you set, so regulars don’t sign a new form each time.

Using the Liability Form Template

It works as a facility use waiver, an equipment use waiver, an open gym waiver, or a membership liability form. Here’s how it’s laid out.

Participant information comes first: name, phone, date of birth, email, and address. A quick yes or no question asks whether the participant is under 18.

Next, visitors tick the areas or equipment they’ll use from your list and add their first visit date. You can list rooms, machines, tools, or anything else people use without a staff member leading them.

The emergency section collects an emergency contact’s name and phone number, plus an optional box for any health conditions your staff should know about.

Your facility rules and waiver terms sit in an editable text block, with bracketed spots for your business name, address, rules, and how long the waiver lasts.

Three separate checkboxes record that the person accepts the risks, agrees to the release, and will follow your rules and pay for damage they cause.

Adults sign for themselves. When the participant is under 18, the form asks for a parent or guardian’s name, and they sign instead. The date signed comes last.

You’ll get an email for every signed waiver, and the signer gets a copy. Add the PDF addon if you’d like a PDF of each one. Waiver rules vary by location, so have your terms reviewed for your area.

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