Free Minor Waiver & Parental Consent Template

•Participant full name: ______________________________

•Date of birth: ____________________ Age: __________

•Address: ______________________________________________

•Phone: ____________________ Email: __________________

•Emergency contact name: ____________________________

•Emergency contact phone: ___________________________

•Date of the activity: ____________________

I am requesting to participate in the activity operated by [Business Name] ("the Company"). I understand that children participate at their own pace and that supervision cannot prevent every injury.

I confirm that my participation is entirely voluntary, that no one has pressured me to take part, and that I may stop participating at any time if I believe conditions are unsafe or beyond my ability.

I understand that the activity involves inherent risks that cannot be eliminated regardless of the care taken by the Company, and that those risks include, but are not limited to:

•Falls, collisions with other children, and rough or unpredictable play

•Injury from equipment used incorrectly or beyond a child's ability

•Overexertion, dehydration, and heat or cold exposure

•Allergic reactions to food, materials, or animals present on site

•Contact with other children who may carry a communicable illness

•Serious bodily injury, permanent disability, paralysis, and death

I have read this list, I understand it, and I knowingly and voluntarily accept every one of these risks, including risks that may arise from the negligence of others or that are not specifically listed above.

I agree to follow all posted rules, safety briefings, and instructions given by [Business Name] staff, including:

•Confirming the minor meets any posted age, height, or weight requirement

•Providing supervision where the Company requires a parent to stay on site

•Removing the minor from the activity if they become unwell or distressed

•Keeping contact details current for the whole time the minor is on site

I understand that failing to follow the rules may result in my removal from the activity without a refund.

I confirm that I am physically able to take part in this activity and that I have disclosed any medical condition, injury, allergy, pregnancy, or medication that could affect my safety or the safety of others.

Conditions to disclose: ______________________________________________

In the event of an injury or medical emergency, I authorize the Company to arrange first aid, emergency transport, and medical treatment on my behalf, and I accept financial responsibility for the cost of that care.

To the fullest extent permitted by the laws of [State], I release, waive, and discharge [Business Name], its owners, officers, employees, contractors, volunteers, agents, and property owners (together, "the Released Parties") from any and all claims, demands, damages, costs, and causes of action of any kind arising out of my participation in this activity, including those caused by the ordinary negligence of the Released Parties.

I agree to indemnify and hold the Released Parties harmless from any claim brought by me, by anyone acting on my behalf, or by a third party as a result of my conduct during the activity.

This release is binding on me, my heirs, my personal representatives, and my estate.

I confirm that I am the parent or legal guardian of the minor named below and that I have full legal authority to sign this agreement on the minor's behalf.

•Minor name: ____________________________ Date of birth: ______________

•Minor name: ____________________________ Date of birth: ______________

•Minor name: ____________________________ Date of birth: ______________

I have explained the risks described above to the minor in terms the minor can understand. I accept every term of this agreement on the minor's behalf, I authorize emergency medical care for the minor, and I agree to indemnify the Released Parties against any claim brought by or on behalf of the minor.

I grant [Business Name] permission to use photographs and video recordings taken during the activity for promotional purposes, without compensation. This permission is optional and declining it does not affect participation.

•[ ] I agree - [ ] I decline

I have read this entire agreement. I understand that I am giving up substantial legal rights, including the right to sue. I am signing it freely, without inducement, and I intend it to be as broad and inclusive as the law allows. If any part of this agreement is found unenforceable, the remaining parts stay in full force.

•Participant signature: ______________________________ Date: ____________

•Printed name: ______________________________________

•Parent/guardian signature (if participant is under 18): ______________________________ Date: ____________

•Printed name of parent/guardian: ______________________________