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Injury Release Form

Injury Release Form


Schools or institutions require an Injury Release Form to protect them from personal injury claims. School trips, swimming classes, field trips, and also other activities have mandatory injury release forms that the participants or guardians must sign.

The one signing the form acknowledges that they can get injured and takes full responsibility for those personal injuries, thereby releasing the institution from liability.

Injury Release Template
Injury Release Template

You can Download the Injury Release Form Template, customize it according to your needs, and Print it. Injury Release Form Template is either in MS Word or Editable PDF.

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Parties Involved:

Identifies the releasee (the party being released from liability) and the releasor (the injured party).

Incident Details:

A section to record details about the incident that led to the injury, such as the date, time, and also location.

Description of Injury:

A section for the releasor to describe the nature and extent of their injuries.

Release of Liability:

A clause stating that the releasor releases the releasee from liability for any claims arising from the incident, including medical expenses, lost wages, or pain and also suffering. Exceptions for cases of gross negligence or intentional misconduct by the releasee.

Medical Authorization (Optional):

A section authorizing the releasee to obtain the releasor’s medical records related to the injury.


Designated spaces for the releasor and witness to sign the form.


Waiver of Liability:

The form helps protect the releasee from lawsuits arising from the releasor’s injury.


The form can be used to document a settlement agreement between the parties involved, where the releasee provides compensation to the releasor in exchange for a release of liability.

Important Disclaimer: These templates are for informational purposes only. They are not a substitute for legal advice. Before using any template, consult with an attorney to ensure it meets your specific needs. EditableForms.com is not a law firm and cannot accept legal requests.