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Release Of Liability

Step 1 of 11

9%

What activity is this release of liability being created for?
Enter Activity:

What is the name of the party being released from liability?
Enter Party Name:

What is the address of the party being released from liability?
Address:
City:
State:
ZIP Code:

Would you like to create a release of liability form for a specific person participating in the activity or a release of liability form to be filled out by the participant at a later time?
Select:
If 'general form' is selected, this form will be adjusted to allow participants to fill out their information after printing. If 'specific participant' is selected, additional information such as emergency contact and guardian information will be requested

Who is the person participating in the activity?
Enter Participant Name:
Enter Address:
Enter City:
State:
Enter ZIP Code:

Who is the participant's emergency contact?
Enter Emergency Contact Name:
Enter Contact Telephone Number:
Enter Contact Relationship to Participant:

Would you like to include a second emergency contact?
Second Emergency Contact:
- Yes
- No

Enter Second Emergency Contact Name:
Enter Second Telephone Number:
Enter Second Relationship:

Would you like to include a third emergency contact?
Third Emergency Contact:
- Yes
- No

Enter Third Emergency Contact Name:
Enter Third Relationship:
Enter Third Telephone Number:

Is the Participant a minor?
Select if Participant is a Minor:
- Yes
- No
What is the name of the minor's parent or guardian signing this waiver?:
What is the adult's relationship to the minor?:

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