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Wellness Liability Waiver template

A free liability waiver template for massage, yoga, fitness, and wellness services, with assumption of risk, health disclosure, release, and media consent. Have a local attorney review it, then send it online.

Wellness Liability Waiver

Participant

Full name *

Date of birth *

Phone number *

Email address *

Emergency contact name and phone *

Assumption of risk

I am voluntarily taking part in services and activities offered by [Business Name], which may include massage, bodywork, stretching, yoga, fitness training, or similar wellness services. I understand these activities carry risks, including muscle soreness, strain, and injury.

I understand the risks and choose to participate *

Health disclosure

I confirm that I am in good enough health to participate. I have disclosed any medical conditions, injuries, or medications that may affect my safety, and I will tell staff right away if my health changes.

I have disclosed all relevant health information *

Conditions or injuries staff should know about

Release of liability

To the extent permitted by law, I release [Business Name], its owners, staff, and contractors from claims arising from my participation, except claims caused by gross negligence or willful misconduct.

I have read this waiver and agree to its terms *

Media

May we use photos or video that include you in our marketing?

Signature

If the participant is under 18, a parent or guardian must sign.

Signature — type your full legal name *

Parent or guardian name, if participant is under 18

Date signed *

6 sections every wellness waiver needs

  1. Participant and emergency contact
  2. Assumption of risk
  3. Health disclosure
  4. Release of liability
  5. Media consent
  6. Guardian signature for minors
What's included
  • Full name
  • Date of birth
  • Phone number
  • Email address
  • Emergency contact name and phone
  • I understand the risks and choose to participate
  • I have disclosed all relevant health information
  • Conditions or injuries staff should know about
  • I have read this waiver and agree to its terms
  • May we use photos or video that include you in our marketing?
  • Signature — type your full legal name
  • Parent or guardian name, if participant is under 18
  • Date signed
Prefer paper? Print it

Download this form as a PDF or Word file — free, no account. When you're ready, send the same form as a link so nobody retypes a clipboard.

This template is a starting point, not legal or medical advice, and using it does not by itself make your practice HIPAA compliant. To collect patient health information on TendForm, use the HIPAA plan with a signed Business Associate Agreement, and have your own counsel review consent and policy wording.