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Personal Injury Waiver Form Template for New Zealand

A comprehensive legal document designed for use in New Zealand that allows participants to acknowledge and accept the inherent risks associated with specific activities while providing protection for service providers. The form is structured to comply with New Zealand's unique Accident Compensation Corporation (ACC) scheme and relevant legislation, including the Accident Compensation Act 2001 and the Health and Safety at Work Act 2015. It includes clear risk disclosures, informed consent provisions, and emergency authorization while recognizing the limitations on liability waivers under New Zealand law.

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Personal Injury Waiver Form

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What is a Personal Injury Waiver Form?

The Personal Injury Waiver Form is an essential legal document used across various sectors in New Zealand where activities involve physical risks. It serves as a risk management tool while acknowledging New Zealand's unique ACC system, which affects how personal injury claims are handled. The document is particularly important for businesses and organizations offering recreational, sporting, or adventure activities, as it helps establish a clear understanding between providers and participants about the risks involved. The form must be carefully drafted to comply with New Zealand law, including the Accident Compensation Act 2001, Health and Safety at Work Act 2015, and Contract and Commercial Law Act 2017. While certain liabilities cannot be contracted out of under New Zealand law, the waiver helps document informed consent and risk acknowledgment.

What sections should be included in a Personal Injury Waiver Form?

1. Parties: Identifies the service provider/organization and the participant signing the waiver, including full legal names and contact details

2. Background: Brief context about the activity or services being provided and purpose of the waiver

3. Definitions: Clear definitions of key terms used in the waiver, including 'Activities', 'Injuries', 'Risks', etc.

4. Activity Description: Detailed description of the activities covered by the waiver

5. Risk Acknowledgment: Explicit listing and acknowledgment of potential risks and dangers associated with the activities

6. Assumption of Risk: Participant's explicit agreement to voluntarily assume the risks associated with the activities

7. Release of Liability: The core waiver language releasing the organization from liability, subject to ACC and law limitations

8. ACC Acknowledgment: Specific reference to New Zealand's ACC scheme and its implications for injury coverage

9. Emergency Medical Authorization: Authorization for emergency medical treatment if needed

10. Governing Law: Specification that the waiver is governed by New Zealand law

11. Declaration and Signature: Final declaration of understanding and signature blocks for all parties

What sections are optional to include in a Personal Injury Waiver Form?

1. Medical Disclosure: Section for participants to disclose relevant medical conditions or medications - used when activities have specific health requirements or risks

2. Parent/Guardian Consent: Additional section required when the participant is under 18 or lacks capacity to sign

3. Photography and Media Release: Optional consent for taking and using photographs or videos - included when the organization may document activities

4. Equipment Use Agreement: Additional terms regarding use of provided equipment - included when equipment is provided for activities

5. Specific Activity Rules: Detailed rules for particular activities - included for complex or high-risk activities

6. Group Participation: Additional terms for group activities or team events - used when activities involve group participation

What schedules should be included in a Personal Injury Waiver Form?

1. Schedule 1 - Detailed Risk Description: Comprehensive list of specific risks associated with each activity covered by the waiver

2. Schedule 2 - Safety Rules and Procedures: Detailed safety protocols and procedures that must be followed during activities

3. Schedule 3 - Emergency Contact Information: Form for participant's emergency contact details and relevant medical information

4. Appendix A - Equipment Checklist: List of required or provided equipment and their proper use guidelines

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

New Zealand

Publisher

Ƶ

Document Type

Service Agreement

Cost

Free to use
Relevant legal definitions


























Clauses




















Relevant Industries

Sports and Recreation

Adventure Tourism

Fitness and Gyms

Education and Training

Entertainment

Events Management

Tourism

Outdoor Activities

Extreme Sports

Community Services

Youth Programs

Healthcare Services

Relevant Teams

Legal

Risk Management

Operations

Health and Safety

Customer Service

Administration

Front Desk

Compliance

Training

Guest Relations

Relevant Roles

Risk Manager

Health and Safety Officer

Operations Manager

Legal Counsel

Compliance Officer

Activity Coordinator

Sports Coach

Fitness Instructor

Recreation Manager

Tour Guide

Adventure Sport Instructor

Facility Manager

Program Director

Event Manager

Customer Service Manager

Industries





Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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