Health & Wellness template

Free activity waiver form template with PAR-Q

The standard readiness questions, then a signed declaration.

9 questions
Multi-step
1 conditional
Free, unlimited responses

Opens in your dashboard with the whole form in front of you. Nothing is created until you say so. Keep it, restyle it, or pick a different one.

Updated October 7, 2026

Readiness

Step 1 of 2

Has a doctor ever said you have a heart condition? *

This field is required.

Do you feel pain in your chest when you do physical activity? *

This field is required.

Do you lose balance from dizziness, or lose consciousness? *

This field is required.

Do you have a bone or joint problem that could be made worse by activity? *

This field is required.

Are you taking medication for blood pressure or a heart condition? *

This field is required.

Any other reason you should not take part? *

This field is required.

Would you tell us more?

So we can plan around it — and please speak to your doctor before taking part.

Please check this answer.

This field is required.

Do you feel pain in your chest when you do physical activity? *

This field is required.

Do you lose balance from dizziness, or lose consciousness? *

This field is required.

Do you have a bone or joint problem that could be made worse by activity? *

This field is required.

Are you taking medication for blood pressure or a heart condition? *

This field is required.

Any other reason you should not take part? *

This field is required.

Would you tell us more?

So we can plan around it — and please speak to your doctor before taking part.

Please check this answer.

Ships in Glass · 26 to choose from

Tap any theme to see this form wearing it.

Inside the template

What this activity waiver & PAR-Q asks, and why

The first step asks six standard physical activity readiness (PAR-Q) questions, covering heart conditions, chest pain, dizziness, joint problems and medication, each answered yes or no. Answering yes to the last question opens a box for detail. A yes doesn't stop anyone taking part; the ending screen asks them to speak to a doctor before their first session. The second step collects an emergency contact and a drawn signature confirming the answers are true and that they take part at their own risk. Have a legal adviser review the declaration for your activity and location.

Questions: 9, 8 required, 1 conditional
Format: Multi-step
Theme: Glass, or any of 26
Cost: Free, no response cap

The 9 questions it asks

In order, with their field types and why each one is there. Pick one to see its screen above. Edit, reorder or delete any of them once it's yours.

A heart condition diagnosed by a doctor.
Chest pain during activity.
Dizziness or loss of consciousness.
Bone or joint problems that activity could worsen.
Medication for blood pressure or the heart.
Any other reason not to take part. Only 'Yes, at least one' asks for detail.
Shown only when someone answers yes, with a prompt to speak to a doctor first.

A required emergency contact name and number.
A drawn signature declaring the answers are true and accepting the risk.

1 question is conditional. It only appears when an earlier answer calls for it, so most people answer 8, not 9.

When to use it

Built for these jobs, and easy to bend to yours

Gyms and studios
Sports clubs
Adventure activities
Events and races

Ways to adapt it

Adventure activities

Add questions on swimming ability, height and weight limits for equipment.

Races and events

Add the race distance, expected finish time and medical consent for race staff.

Children's activities

Change the signer to a parent or guardian and add the child's details.

Best practices

How to get good answers from an activity waiver & PAR-Q

1
Check before the session
Read waivers before people start. A 'yes' answer may need a conversation before they take part.
2
Get it signed in advance
Send the link with the booking confirmation, so the queue at the door is shorter.
3
Have your wording checked
Waiver wording depends on local law. Ask a legal adviser to review the declaration for your activity.
4
Keep records
Signed waivers are stored with each response. Export them regularly for your records.

After you publish

Where the responses go next

Spot 'yes' answers
The answer breakdown shows how many people answered yes to each question.
Brief instructors before the session
Search the responses for 'Yes' before each session and tell the instructor in person. Health answers should not go to a shared channel.
Export for records
Export to CSV with signatures and dates whenever your insurer asks.

Integrations Form analytics What each plan includes

FAQ

Activity Waiver & PAR-Q: common questions

Still deciding?

Seven steps from an empty account to a published form.

How to create a form support@formsnapp.com

Is this medical clearance?

No. It is a record of readiness and a signed declaration. It does not replace advice from a doctor, and FormSnapp makes no HIPAA claim.

What happens if someone answers yes?

Nothing stops them. The form asks for a little detail and tells them to speak to their doctor before taking part.

Can people sign on a phone?

Yes. Participants sign with a finger, and the signature is stored with their answers and the date.

Is the waiver legally binding?

That depends on your local law and wording. The form records the signature and the answers; have the wording checked.

Can I use a tablet at reception?

Yes. Open the form on a tablet for people who have not signed in advance.

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Free activity waiver form template with PAR-Q

What this activity waiver & PAR-Q asks, and why

The 9 questions it asks

Built for these jobs, and easy to bend to yours

Ways to adapt it

Adventure activities

Races and events

Children's activities

How to get good answers from an activity waiver & PAR-Q

Check before the session

Get it signed in advance

Have your wording checked

Keep records

Where the responses go next

Spot 'yes' answers

Brief instructors before the session

Export for records

Activity Waiver & PAR-Q: common questions

Is this medical clearance?

What happens if someone answers yes?

Can people sign on a phone?

Is the waiver legally binding?

Can I use a tablet at reception?

Related templates

Ready to create forms people actually answer?