Skip to main content

Pregnancy Liability Waiver

Pregnancy Liability Waiver

RELEASE OF LIABILITY FORM

The Releasee: [Releasee's name], [Who Releasee] [Address], [City], [State] [ZIP Code]

The Releasor

Purpose: [Purpose Release] Activity Title: [Title] Date: [Date] Time: [Time] Location: [Location]

Release of liability

While participating in the above activity, I, the undersigned Releasor, acknowledge and agree to the following:

Acceptance of risks. I realize that participation in the above activity involves specific risks and dangers. I voluntarily undertake all risks associated with the event, including but not limited to [Risks].

Indemnification. I hereby release, discharge, and hold harmless [Releasee's name], [Who Releasee], the officers, employees, agents, and representatives from any claim, liability, demand, action, or cause of action arising out of or related to any loss, damage, or injury I may incur during or as a result of my participation in the above activity.

Compliance with the rules. I agree to comply with all rules, regulations, and instructions provided by [Email] (phone: [Phone number]) related to the event.

Liability for damages. I understand that I am responsible for any damage to [Name of responsible person]'s property and equipment caused by my intentional or negligent actions during the activity, and I agree to refund the full price of any repairs or replacement.

Insurance. I acknowledge that [Address], [City], [State] [ZIP Code] does not provide insurance coverage for releasors, and I am solely responsible for obtaining my insurance coverage should I decide to do so.

Emergency medical treatment. In case of an emergency, I give [Place of signing] full authority to provide and arrange any necessary medical treatment. Please call [Phone number] at [Phone number] (Releasor email: [Email]) in case of emergency. Signed on [Date of signing].

Photography and images. I authorize [Releasor's name], [Who Releasor],to use, reproduce, and/or distribute photographs, videos, or other media of me taken during the activity for promotional or other purposes.

Additional terms: [Additional terms].

Governing law

This Release of Liability will be governed by and construed in accordance with the laws of the State of [Governing law], except for its conflicts of laws principles. Any disputes arising from or related to this Release of Liability that cannot be resolved by negotiations and mutual agreement shall be resolved by courts of the State of [Jurisdiction].

I have read and understood the terms of this Release Form, and by signing this release, I voluntarily surrender specific legal rights.

________________________

(Place for signature)

,

Party 1

________________

Signature

Date: ________________

Party 2

________________

Signature

Date: ________________

Maintained by Vladislav Sergienko, Founder·Template last modified: ·Report an error

What Is a Pregnancy Liability Waiver?

A Pregnancy Liability Waiver in the United States records a party's agreement to give up identified rights or claims against another. It records the rental price, deposit, term, maintenance duties, and notice periods between landlord and tenant.

The waiver operates within the broader framework of assumption-of-risk doctrine and informed consent principles. Courts have generally upheld liability waivers for recreational activities under the voluntary assumption of risk standard established in cases like Tunkl v. Regents of the University of California (1963), which identified factors that determine when waivers are against public policy. However, waivers involving pregnant participants receive heightened judicial scrutiny because they potentially affect the health of both the participant and the unborn child.

The Americans with Disabilities Act (ADA) and the Pregnancy Discrimination Act (PDA) prohibit blanket refusal of services to pregnant individuals. Rather than excluding pregnant participants, the waiver serves as an informed consent mechanism — ensuring the participant understands the specific risks associated with their condition while allowing them to make an autonomous decision about participation. State laws vary significantly on the enforceability of pre-injury waivers, with some states like Virginia and Montana disfavoring them entirely, while others like Colorado and Florida generally enforce them when properly drafted.

When Do You Need a Pregnancy Liability Waiver?

A pregnancy liability waiver is needed by any business offering physical activities or body treatments to pregnant clients. Yoga studios, Pilates centers, CrossFit gyms, and personal trainers should require this waiver before pregnant participants join classes, as exercises involving high impact, abdominal compression, or extreme heat (hot yoga) carry specific risks during pregnancy.

Spas and wellness centers need this waiver for services such as massage therapy, sauna and steam room access, hydrotherapy, and certain facial treatments involving chemical products. The American College of Obstetricians and Gynecologists (ACOG) publishes guidelines on physical activity during pregnancy, and service providers can reference these guidelines in their waiver to demonstrate that participants were informed of medically recognized risks.

Adventure activity providers — zip-line operators, horseback riding stables, trampoline parks, and water sports companies — need pregnancy waivers as part of their standard risk management protocol. Prenatal fitness programs, maternity photography sessions involving physical poses or outdoor locations, and childbirth education classes that include physical demonstrations should also use these waivers. Medical providers offering elective procedures such as cosmetic treatments, chiropractic adjustments, or acupuncture during pregnancy use similar consent forms. Without a signed waiver, a service provider who allows a pregnant participant to engage in an activity that results in complications faces significant legal exposure for negligence claims.

What to Include in Your Pregnancy Liability Waiver

A pregnancy liability waiver must identify the participant with full name, date of birth, contact information, and an acknowledgment of their current pregnancy status including approximate gestational age. The service provider must be fully identified with business name, address, and the specific activity, class, or service being authorized.

A clear description of the inherent risks associated with the activity during pregnancy is essential. Rather than generic risk language, the waiver should identify specific pregnancy-related risks such as preterm labor, placental abruption, musculoskeletal injury due to relaxin hormone effects, overheating, dehydration, blood pressure changes, and falls. The more specific the risk disclosure, the stronger the waiver's enforceability.

The waiver should include a representation by the participant that they have consulted with their obstetrician or midwife regarding the specific activity and have received medical clearance to participate. Some providers require a physician's written approval letter before accepting the waiver. The participant should acknowledge that they are voluntarily choosing to participate despite understanding the risks.

A hold harmless and indemnification clause should protect the service provider, its employees, instructors, and contractors from claims arising from the participant's voluntary participation, excluding claims arising from gross negligence or intentional misconduct. A medical emergency authorization section should grant the provider permission to seek emergency medical treatment on the participant's behalf if needed and specify an emergency contact.

The waiver must be signed and dated by the participant. It should include a governing law provision and a severability clause so that if any portion of the waiver is found unenforceable, the remainder survives. The provider should retain the signed waiver for a minimum of the applicable state statute of limitations for personal injury (typically two to six years), and longer if the waiver addresses potential claims related to the child.

Sources & Citations

Statutory citations link to official government sources.

  1. Americans with Disabilities ActUS – Cornell LII
  2. ADAUS – Cornell LII

Cite this page

Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Pregnancy Liability Waiver (United States) [Legal document template]. Forms Legal. https://forms-legal.com/usa/personal/releases/release-of-liability-form-pregnancy

MLA

"Pregnancy Liability Waiver (United States)." Forms Legal, 2026, https://forms-legal.com/usa/personal/releases/release-of-liability-form-pregnancy.

BibTeX
@misc{formslegal-release-of-liability-form-pregnancy,
  author       = {{Forms Legal}},
  title        = {Pregnancy Liability Waiver (United States)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/usa/personal/releases/release-of-liability-form-pregnancy}},
  note         = {Free legal document template. Based on common-law assumption of risk and contract principles (Restatement (Second) of Contracts)}
}

Also available for these jurisdictions:

Frequently Asked Questions

Based on common-law assumption of risk and contract principles (Restatement (Second) of Contracts) — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

Found an error? Let us know

Related Documents

You may also find these documents useful:

Release Of Liability Form

Organizing an event, activity, or service where participants could get hurt? A general release of liability form is your first line of legal defense. It documents that participants understand and voluntarily accept the risks involved, from sports and recreation to workshops and guided tours. The form covers assumption of risk, waiver of the right to sue, indemnification, and medical authorization in case of emergency. Whether you run a gym, adventure company, community event, or offer professional services, this form helps protect you from negligence claims. The template includes participant details, activity description, and specific risk acknowledgments. Free PDF and Word download.

Medical Consent Form

Heading into surgery, a medical procedure, or experimental treatment? A Medical Consent Form documents that a patient understands the risks, benefits, and alternatives — and agrees to proceed. It's not just paperwork; it's informed consent, a cornerstone of medical ethics and a legal shield for practitioners. Our template covers the procedure description, known risks, expected outcomes, the right to refuse, and provider information. Fill in the details, preview in real time, and download as PDF or Word — free, no sign-up needed.

HIPAA Authorization Form

Need to share your medical records with a new doctor, an insurance company, or a family member? A HIPAA Authorization Form gives the green light for a covered entity to release your protected health information — but only to the specific people you choose. This template lets you specify exactly which records to share, the purpose of the disclosure, and a clear expiration date. Revoke it whenever you want. Fill out the details, preview instantly, and download as PDF or Word — completely free, no sign-up required.

Waiver of Liability

Hosting an adventure tour, fitness class, or any activity where someone could get hurt? A Waiver of Liability is your first line of defense. It's a signed agreement where the participant acknowledges the risks involved and agrees not to sue if something goes wrong. It covers the specific activity, the known risks, an assumption of risk clause, and a release from liability. No waiver is bulletproof, but having one dramatically improves your legal position. Our free template is straightforward. Fill it out online, preview, and download as PDF or Word.