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Whereas, in consideration of being permitted to attend a course for instruction in firearms and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged:

Student agrees to indemnify, hold harmless, and defend ASI Dynamics LLC , (including all its owners, employees, agents, and/or assistants) hereinafter referred to collectively or individually as “Instructor”, from any and all fault, liabilities, costs, expenses, claims, demands, or lawsuits arising out of, related to, or connected with Student’s presence at and/or participation in the course of instruction; the use of instruction in the future; the discharge of firearms by Student, Student’s presence on or use of the range, building, land, and premises (“Premises”); and, any and all acts or omissions of Student.

Student furthermore waives for himself/herself and for his/her executors, personal representatives, administrators, assignees, heirs and next of kin, any and all rights and claims for damages, losses, demands and any other actions or claims whatsoever, which he/she may have or which may arise against Instructor (including but not limited to the death of Student and/or any and all injuries, damages or illnesses suffered by Student or Student’s property), which may, in any way whatsoever, arise out of, be related to or be connected with: the course of instruction; the Premises, including any latent defect in the Premises; Student’s presence on or use of said Premises; Student’s property (whether or not entrusted to Instructor); and the use of ammunition and discharge of firearms. Instructor shall not be liable for Student, those on behalf of himself/herself and on behalf of his/her executors, personal representatives, administrators, assignees, heirs, and next of kin, hereby expressly release the Instructor from any and all such claims and liabilities.

Student hereby expressly assumes the risk of taking part in the course for instruction in firearms and taking part in the activities on the Premises, which include, but are not limited to, instruction in the use of firearms, the discharge of firearms and the firing of live ammunition.

Student hereby acknowledges and agrees that Student has read this waiver and understands its terms and is executing this instrument voluntarily. Student hereby acknowledges and agrees that he/she has read, understands and will at all times abide by all range rules and procedures and any other rules and procedures stated by the Instructor. Student furthermore agrees that any violations made can and will result in the removal of Student and/or their party and representatives from the Premises.

Student expressly agrees that this waiver is intended to be as broad and inclusive as permitted by law and that if any provision of this instrument is held invalid or otherwise unenforceable, the enforceability of the remaining provisions shall not be impaired thereby. No remedy conferred by any of the specific provisions of this instrument is intended to be exclusive of any other remedy, and each and every remedy shall be cumulative and shall be in addition to every other remedy now or hereafter existing at law or in equity or by statute or otherwise. The election of any one or more remedy hereunder by the Instructor shall not constitute any waiver of Instructor’s right to pursue other available remedies. This instrument binds Student and his/her executors, personal representatives, administrators, assignees, heirs and next of kin. 

Student understands that persons meeting any of the following conditions are prohibited by federal or state law to possess a firearm:

  1. A felon
  2. An illegal immigrant
  3. A person under the age of 18 for a long gun and 21 for a handgun - but this shall not apply to the issue of handguns to members of the Armed Forces of the United States, active or reserve, National Guard, State Militia, or ROTC, when on duty or training or the temporary loan of handguns for instructions under the immediate supervision of a parent or adult instructor
  4. Currently charged for a crime that would, upon conviction, bar you from possessing a firearm
  5. A person who was dishonorably discharged from any of the armed forces of the United States
  6. A person who has been convicted in any court of a crime punishable by imprisonment for a term exceeding one year
  7. A person who has been convicted of a crime of violence in any court of the United States, the several states, commonwealths, territories, possessions, or the District of Columbia or who is a fugitive from justice or a habitual drunkard or a drug addict or who has been adjudicated mentally incompetent
  8. A person who by order of a circuit judge or county court judge of this State has been adjudged unfit to carry or possess a firearm
  9. A person subject to a court order prohibiting stalking, harassing, or threatening an intimate partner or child of an intimate partner or placing them in reasonable fear of bodily injury
  10. A person found by a court or mental facility to have certain mental disabilities
  11. A fugitive from Justice
  12. A person who has formally renounced US citizenship
  13. A member of a subversive organization

By enrolling in, paying for, and attending said training, Student declares that there are no legal or physical restrictions or impediments with Student in the handling or participating in firearms or personal protection training. Also, Student certifies that they are not a person prohibited under federal or state law from possessing a firearm, and none of the above conditions apply to them. Student has been informed of all risks involved and they voluntarily agree to the terms and conditions stated above.


Today's Date: January 12, 2026

First Student's Name
First Name*
Last Name*
Phone*
First Student's Age Acknowledgment*
First Student's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Student's Signature*
Second Student's Name
First Name*
Last Name*
Student's Date of Birth*
Date of Birth
Third Student's Name
First Name*
Last Name*
Student's Date of Birth*
Date of Birth
Fourth Student's Name
First Name*
Last Name*
Student's Date of Birth*
Date of Birth
Fifth Student's Name
First Name*
Last Name*
Student's Date of Birth*
Date of Birth
Sixth Student's Name
First Name*
Last Name*
Student's Date of Birth*
Date of Birth
Seventh Student's Name
First Name*
Last Name*
Student's Date of Birth*
Date of Birth
Eighth Student's Name
First Name*
Last Name*
Student's Date of Birth*
Date of Birth
Ninth Student's Name
First Name*
Last Name*
Student's Date of Birth*
Date of Birth
Tenth Student's Name
First Name*
Last Name*
Student's Date of Birth*
Date of Birth
Parent or Guardian's Driver's License / ID Card
Driver's License / ID Card Number*
Issuing State*
Student's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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