An Accident Release Form is used to extinguish any claims on liabilities from an accident on a mutual agreement between both parties. The agreement acts as a prior agreement in case of any accidents that should arise during the period indicated. It is usually necessary to avoid claims on incidences that may occur and not necessarily our negligence. A sample Accident Release form is below.
Sample Accident Release Form
Name of Activity or Event ______________________________________________
Date of Activity or Event _______________________________________________
Type of Activity______________________________________________________
I hereby assume all the risks of participating in the activity/event mentioned above and any arising risks surrounding the event caused by any person directly or indirectly.
I certify that I am physically fit to participate and have not been advised by any medical physician not to do so. I certify that I am medically fit to participate in the mentioned activity and will not sue in case of any accidents caused during my participation.
I certify that I understand the content of this Release Form.
Signed by Participant: _______________________________ Age: ______________
(By Parent/Guardian if under 18)
Date: ___________________________
