ATV Waiver Form

A form that captures a participant's consent and acknowledgment of risk before riding an off-road vehicle.

Use this template

Participant name

First Name

Last Name

Date of birth

Address

Street Address

City

State / Province

ZIP / Postal Code

Phone number

Email

Emergency contact name

First Name

Last Name

Relationship to participant

Emergency contact phone number

Do you have any medical conditions or allergies we should know about?

Yes No

If yes, please provide details

Are you currently taking any medication?

Yes No

If yes, please provide details

By signing below, I acknowledge that I have read and understood this waiver and agree to assume all risks associated with ATV riding.

Signature

Sign here

Date signed

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