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Sample Liability Form

Sample Liability Form


A liability form is normally filled out to show that the party signing it is ready to take full responsibility for any personal injury, death, or damage to personal property associated with the activities in the respective event. Shown below is a sample liability.

Sample Liability Template
Sample Liability Template

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Parties Involved:

Identifies the releasee (the yoga studio or gym) and the releasor (the participant).

Activities Covered:

Specifies the activities covered by the release, such as yoga, fitness classes, or use of gym facilities.

Risk Acknowledgement:

A section for the participant to acknowledge the inherent risks of the activities, including the possibility of physical injury or property damage.

Release of Liability:

A clause stating that the participant releases the releasee from liability for any injury, illness, or death caused by participation in the activities, except in cases of gross negligence or intentional misconduct by the releasee.

Medical Disclosure:

A section where the participant can disclose any pre-existing medical conditions.

Assumption of Risk:

The participant agrees to assume full responsibility for any risks associated with their participation.

Binding Agreement:

A statement clarifying that the release agreement is binding on the participant and also their heirs, assigns, and estate.


Designated spaces for the participant, parent or guardian (if the participant is a minor), and also witness to sign the form.


Waiver of Liability:

The form helps protect the yoga studio or gym from liability for injuries sustained by participants during their activities.

Informed Participation:

By signing the form, participants acknowledge the potential risks involved and agree to participate voluntarily.

Medical Disclosure:

The form encourages participants to disclose any pre-existing medical conditions that could be aggravated by exercise. This can help the instructor tailor the program accordingly and also ensure participant safety.

Record Keeping:

The form serves as a record of participant registration and provides contact information in case of emergencies.

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.