Release of Liability Form

A. Format

1. Identify the subject – You must first identify the person or people that will be covered by the release of liability form. Particularly, you want to identify who is consenting to the release of liability and for what purpose they are releasing liability. You should also identify the specific people or company who is being released from harm. Remember that an individual form will be required for each person that will be covered by a release of liability form.

2. Detail exactly what activities are to be covered by the release of liability form. Specify in detail the dangers that may be incurred, possible injuries, and how much responsibility is to be released. While it is impossible to predict every situation that may occur, try to cover as many as possible.

3. Provide a specific time frame for when the release of liability form will cover. You can specify whether the release is valid for a certain time period or if it is effective until revoked. A release of liability form must specify the start and end time that is covered.

4. If applicable, list what medical or emergency services are available. You want to show the person that they will be taken care of to the best possible way while disclaiming liability for the injuries or dangers encountered.

5. Provide the full contact information of the person who will be under the care of the appointed party. Provide their name, date of birth, address, and any other contact information. A separate form must be filled out for each individual covered.

B. Instructions


1. Identify the subject – You must first identify:

- the person or people that will be covered by the release of liability form.


- identify who is consenting to the release of liability and for what purpose they are releasing liability.


- identify the specific people or company who is being released from harm.

Remember that an individual form will be required for each person that will be covered by a release of liability form.

2. Detail exactly what activities are to be covered by the release of liability form.

- Specify in detail the dangers that may be incurred, possible injuries, and how much responsibility is to be released.

- While it is impossible to predict every situation that may occur, try to cover as many as possible.

3. Provide a specific time frame for when the release of liability form will cover.

- You can specify whether the release is valid for a certain time period or if it is effective until revoked.

- A release of liability form must specify the start and end time that is covered.

4. If applicable, list what medical or emergency services are available.

- You want to show the person that they will be taken care of to the best possible way while disclaiming liability for the injuries or dangers encountered.

5. Provide the full contact information of the person who will be under the care of the appointed party. Provide their:

- name


- date of birth


- address


- and any other contact information.

A separate form must be filled out for each individual covered.

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