Collect permission to publish a specific customer testimonial with agreed attribution.
Waiver template · 8 fields (7 required) · ~2 min for respondents to complete · Free plan · No credit card · Fully customizable
Set up your testimonial release waiver
Collect permission to publish a specific customer testimonial with agreed attribution.
The included questions capture testimonial text or reference and approved name and publication channels, alongside the signer’s contact details. An acknowledgment, signature, and signing date keep the participation or permission record together.
Let the contributor review the exact quote and attribution. Avoid turning permission for one testimonial into an unrestricted endorsement.
Before publishing, replace the draft instructions in the Terms acknowledgment field description with wording reviewed for your organization, activity, and jurisdiction. FormBuilder collects responses; it does not determine whether a waiver is enforceable or certify the identity of a signer.
Best practices
Let the contributor review the exact quote and attribution. Avoid turning permission for one testimonial into an unrestricted endorsement.
Record a terms version in your reviewed wording and preserve a copy of the form used for each activity or session.
Ask only for information your team needs. Arrange any sensitive supporting documents through an appropriate private process.
Test the published form on a phone, check the signature field, and confirm that your team can find the response before sharing the link widely.
Every field, explained
Full name of person signing (Name, required) — The person making the acknowledgment or request.
Email address (Email, required)
Phone number (Phone)
Testimonial text or reference (Short text, required) — Identifies testimonial text or reference so the response can be matched to the correct record.
Approved name and publication channels (Short text, required) — Records approved name and publication channels for this specific use case.
Terms acknowledgment (Multiple choice, required) — Replace the organizer-facing draft instructions with your reviewed terms. Respondents acknowledge the displayed text; they should not write the terms themselves.
Signature (Signature, required) — A signature input for the person identified above. It is not an identity-verification or legal-validity guarantee.
Date signed (Date, required) — The date entered by the signer. Keep this distinct from any submission timestamp.
Frequently asked questions
What does the testimonial release waiver template include?
It includes contact details, testimonial text or reference, approved name and publication channels, an acknowledgment, signature, and signing date. You can edit the fields and instructions before publishing.
Is this a ready-to-use legal waiver?
No. It is a form-building starting point with draft setup instructions. Replace those instructions with reviewed terms for your activity and jurisdiction before collecting responses. A signature alone does not establish enforceability.
Can I use this form online or print it?
Yes. Customize the draft, publish it to share a link or embed it, or use the template page’s print option. Review the final wording and layout before distributing either version.