Release of claims and assumption of risk for services with inherent risk (salon chemical services, hotel pool/fitness use, physical services) — enforceability against ordinary negligence varies significantly by state.
⚠️ This is a blank template, not legal advice: check the wording with a lawyer and adapt it to your jurisdiction and your case.
RELEASE OF LIABILITY AND ASSUMPTION OF RISK
Business name Date: Date signed
In consideration of being permitted to participate in the service/activity described below, provided by Business name, I, Customer / participant name, agree to the following:
1. DESCRIPTION OF ACTIVITY / SERVICE 1.1. Description of service / activity.
2. ASSUMPTION OF RISK 2.1. I understand that this activity/service carries inherent risks, including but not limited to: Specific risks disclosed. I voluntarily assume all such risks, known and unknown.
3. RELEASE OF CLAIMS 3.1. To the fullest extent permitted by the law of Governing state law, I release and hold harmless Business name and its owners, employees, and agents from any claims, liabilities, or damages arising from ordinary negligence in connection with this activity/service. This release does not apply to gross negligence, recklessness, or willful misconduct, which cannot be waived. 3.2. ⚠️ The enforceability of liability waivers against ordinary negligence varies significantly by state — some states (e.g. Connecticut, Virginia, Louisiana, Montana) give them little or no effect, particularly for services provided to the public. Confirm enforceability under the law of Governing state law before relying on this waiver.
4. MEDICAL INFORMATION 4.1. Relevant medical conditions or allergies disclosed by the customer (optional): Medical conditions / allergies disclosed.
Emergency care: if I am injured or become ill during the activity, I authorize Business name to arrange emergency medical care on my behalf, and I agree that I am responsible for the cost of that care.
SIGNATURES Participant ______________ / Customer / participant name / Date: Date signed
— — — ⚠️ This is a boilerplate template, not legal advice. Employment, consumer-protection, and business law in the United States vary significantly by state (and sometimes by city) — have this document reviewed and adapted by a licensed attorney in your state before use. Official government forms (Form I-9, Form W-4, Form W-9, Form 1099-NEC, etc.) are not included here and must be obtained directly from the IRS/USCIS in their official, unmodified form.
Fields that belong to a switched-off clause are dimmed — they are not asked for.
What the customer is doing, and its known risks
Optional voluntary disclosure by the customer
Required only if the participant is a minor
Waiver enforceability against ordinary negligence varies by state; some states (e.g. Connecticut, Virginia, Louisiana, Montana) heavily restrict liability waivers
2 of 9 fields are taken from the company, employee or counterparty record, the questionnaire can be dictated to the AI, and the finished document comes with a number, a PDF and an acknowledgement record.