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Personal Injury Waiver Form for Indonesia

Personal Injury Waiver Form Template for Indonesia

A comprehensive legal document designed under Indonesian law that protects businesses and service providers from liability in case of personal injury during specified activities. This waiver form complies with Indonesian Civil Code (KUHPerdata) requirements and consumer protection regulations, clearly outlining the risks involved in activities, participant acknowledgments, and the scope of liability release. The document includes provisions for emergency medical treatment authorization while maintaining alignment with Indonesian legal standards for risk disclosure and consent.

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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 a crucial legal document used in Indonesia when individuals participate in activities that carry inherent risks of physical injury. This document is essential for businesses and organizations offering recreational, sporting, or adventure activities, providing legal protection while ensuring compliance with Indonesian civil law and consumer protection regulations. The waiver should be used before participants engage in any potentially risky activities, clearly documenting their informed consent and understanding of the risks involved. It includes comprehensive risk disclosure, emergency procedures, and liability limitations, all structured to meet Indonesian legal requirements for enforceability. The document is particularly important given Indonesia's growing adventure tourism and recreational sports sectors, where clear risk communication and liability management are essential.

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

1. Parties: Identification of the party providing the waiver (Releasor) and the party being released from liability (Releasee), including full legal names and addresses

2. Background: Context of the activity or service for which the waiver is being signed, including the nature of potential risks

3. Definitions: Clear definitions of key terms used in the waiver, including 'Personal Injury', 'Negligence', 'Released Parties', and 'Activities'

4. Acknowledgment of Risks: Detailed description of the risks involved in the activity, demonstrating that the signer has been fully informed

5. Voluntary Participation: Statement confirming that participation is voluntary and that the signer understands the risks

6. Waiver and Release: Core waiver language releasing the other party from liability for personal injury

7. Scope of Waiver: Specific details about what types of claims and circumstances are covered by the waiver

8. Medical Authorization: Permission to seek emergency medical treatment if necessary

9. Governing Law: Specification that Indonesian law governs the waiver and jurisdiction for disputes

10. Declaration and Signature: Formal declaration of understanding and agreement, with space for signatures, dates, and witness information

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

1. Parental Consent: Required when the participant is under 18 years of age, including parent/guardian acknowledgment and signature

2. Photography Release: Optional section for releasing rights to use photographs or videos of the participant during the activity

3. Insurance Declaration: Statement regarding whether personal insurance is required and acknowledgment of insurance status

4. Term and Termination: Include when the waiver needs to cover an extended period or multiple activities

5. Special Health Conditions: Section for declaring any relevant health conditions that might affect participation in the activity

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

1. Schedule A - Activity Description: Detailed description of the specific activities covered by the waiver

2. Schedule B - Safety Procedures: List of safety procedures and protocols that will be followed

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

4. Appendix 1 - Risk Disclosure: Comprehensive list of potential risks associated with the activity

5. Appendix 2 - Medical Facility Information: List of nearby medical facilities and emergency procedures

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

Indonesia

Publisher

Ƶ

Document Type

Release Agreement

Cost

Free to use
Relevant legal definitions


























Clauses




















Relevant Industries

Sports and Recreation

Tourism and Hospitality

Fitness and Wellness

Adventure Tourism

Education and Training

Entertainment

Events Management

Healthcare

Corporate Team Building

Extreme Sports

Relevant Teams

Legal

Risk Management

Operations

Safety and Compliance

Customer Relations

Events Management

Recreation Services

Training and Development

Facility Operations

Guest Services

Relevant Roles

Risk Manager

Legal Counsel

Operations Director

Safety Coordinator

Recreation Manager

Facility Manager

Events Coordinator

Adventure Sports Instructor

Fitness Trainer

Tour Guide

Sports Coach

Compliance Officer

Customer Service Manager

Business Owner

Program Director

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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