Free Health Waiver Template
Health Waiver
I. Introduction
This Health Waiver Agreement (the "Agreement") is entered into between [YOUR COMPANY NAME], located at [YOUR COMPANY ADDRESS], and the undersigned participant, herein referred to as the "Participant," regarding participation in [ACTIVITY/EVENT/SERVICE].
II. Assumption of Risk
The Participant understands and acknowledges that participation in [ACTIVITY/EVENT/SERVICE] involves inherent risks, including but not limited to, physical exertion, exposure to elements, and potential for injury or illness. The Participant voluntarily assumes all risks associated with participation.
III. Health Statement
The Participant hereby confirms that they are in good physical condition and have no medical conditions that would prevent their safe participation in [ACTIVITY/EVENT/SERVICE]. The Participant agrees to disclose any relevant medical conditions or concerns to [YOUR NAME], the organizer, prior to participation.
IV. Release of Liability
In consideration of being permitted to participate in [ACTIVITY/EVENT/SERVICE], the Participant, on behalf of themselves and their heirs, hereby releases, waives, discharges, and holds harmless [YOUR COMPANY NAME] and its affiliates, employees, agents, and representatives from any and all claims, liabilities, damages, or expenses arising from or related to participation in [ACTIVITY/EVENT/SERVICE].
V. Emergency Medical Treatment
The Participant authorizes [YOUR COMPANY NAME] and its representatives to obtain medical treatment for them in case of an emergency, and agrees to assume all costs associated with such treatment.
VI. Photo/Video Release
The Participant grants [YOUR COMPANY NAME] the irrevocable right and permission to use photographs or videos of them taken during [ACTIVITY/EVENT/SERVICE] for promotional or educational purposes.
VII. Agreement to Terms
The Participant acknowledges that they have read and understand this Agreement, including the risks involved, and voluntarily agree to be bound by its terms and conditions.
VIII. Governing Law
This Agreement shall be governed by and construed in accordance with the laws of the state of [YOUR STATE].
IX. Signature
Participant Name:
Participant Signature:
[Date]
X. Parent/Guardian Signature
(if Participant is a Minor)
Parent/Guardian Name:
Parent/Guardian Signature:
[Date]
