Loading...

Independence Firearms and Training, LLC Range Waiver

Release & Indemnity Agreement and Acknowledgement of Risk


I, the undersigned, hereby acknowledge that I have voluntarily entered onto the Independence Firearms and Training LLC property at 305 Circle Dr, Cord, AR 72524 (the “Range”) to engage in or to observe shooting and other activities. If a minor accompanies me, I the undersigned, represent and warrant that I am the Parent or Legal Guardian of that minor(s) have read the foregoing “Acknowledgement of Risk, Release & Indemnity Agreement” and fully know and understand its contents and acknowledge and agree to be bound by all its terms and conditions. All sections of the Acknowledgement of Risk, Release & Indemnity Agreement additionally apply to any activities or times I am on the property located at 75 Circle Dr, Cord, AR 72524.

I ACKNOWLEDGE AND UNDERSTAND THAT SHOOTING ACTIVITIES ARE INHERENTLY HAZARDOUS and involve both known, unknown, and unanticipated risks which could result in damage or destruction of property or physical or emotional injury, including paralysis or death, to myself or other persons. The risks include but are not limited to: being shot by someone or shooting myself or others; partial or total loss of eyesight or hearing; inhalation or other harmful contact with lead or other contaminants; and being struck by flying or falling objects. I understand that such risks cannot be eliminated without compromising the essential qualities of shooting activities. 

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT the nature and condition of the Range’s facilities’ premises’ and environment is such that both known, unknown, and unanticipated hazards exist which create or contribute to both known, unknown, and unanticipated risks inherent in entering onto the Range. In using Range facilities and in engaging in or observing any activities of any kind whatsoever while at the Range. The hazards include, but are not limited to: slippery, loose, or falling soil and rocks; unimproved, unmaintained, or uneven terrain, walkways, steps, and roads; poisonous or dangerous plants, reptiles, insects, and other animals; and falling trees and tree branches. I understand that such hazards and risks cannot be eliminated without compromising the essential qualities of the Range facilities, equipment, premises, and environment.

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT the landowner, owner and operator of the Range, including its officers, employees, and agents (collectively, “Owner”), have no duty to undertake first-aid or rescue operations or procedures in the event any such property damage or physical or emotional injury occurs, and that such operations or procedures may result in compounded or increased damages or injuries. 

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT the Range and Owner make no warranty as to the design, manufacture, maintenance, condition or fitness for any particular purpose of any Range facilities or equipment, including, but not limited to: firearms, ammunition, eye/hearing protection, and first-aid supplies. As lawful consideration for being permitted by the Owner to enter on to the Range, to use Range facilities or equipment and to engage in or observe shooting and other activities at the Range, as either a Member or a Guest, I, the undersigned, agree as follows:

I EXPRESSLY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS EXISTING ON THE RANGE AND IN ENTERING ON TO THE RANGE AND IN USING RANGE FACILITIES OR EQUIPMENT AND IN ENGAGING IN OR OBSERVING SHOOTING AND OTHER ACTIVITIES AT THE RANGE. Initial: 



I AGREE to read and abide by all Range Rules, and to ensure that my any guest(s) of mine do so as well. I AGREE that I, my next of kin, heirs, guardians, representatives, and assigns HEREBY RELEASE AND FOREVER DISCHARGE AND AGREE NOT TO SUE Owner from and against any and all claims, demands, expenses, causes of action, attachments of property, or liability of any kind whatsoever, that I, my next of kin, heirs, guardians, representatives, or assigns may have for property damage, personal injury, or death resulting from me or my guest(s) entering on to the Range, using Range facilities or equipment, or engaging in or observing shooting and other activities at the Range, even if such claims, demands, damages, expenses, causes of action, attachments of property, or liability result partially or wholly from any act or acts, even any negligent act or omission, including negligent or omitted first-aid or rescue operations or procedures, by the Owner.  

I ACKNOWLEDGE AND AGREE that this Agreement shall be interpreted and enforced under the laws of the State of Arkansas, and that the venue for any action or proceeding shall be Batesville, Arkansas.

I FURTHER ACKNOWLEDGE AND AGREE that this Agreement is intended to be as broad and inclusive as permitted by law, and that if any provision or portion is held to be invalid, void or otherwise unenforceable, I agree and intend that the remaining provisions or portion shall continue and remain in full legal force and effect.

I have carefully read this “Acknowledgement of Risk, Release & Indemnity Agreement” and fully know its contents. I acknowledge that no other inducement, assurance or guarantee has been made to me in consideration of my signing this Agreement, which I sign voluntarily and of my own free will. I further acknowledge and agree that this Agreement may be amended or modified only by a writing signed by me and by an authorized agent of the Owner.

I FURTHER ACKNOWLEDGE that I have read and understand the posted Gun Safety Rules and Guidelines and have agreed to follow them. 

CONSENT TO PHOTOGRAPHY AND/OR RECORDING: I hereby permit Independence Firearms and Training, LLC and other persons designated, to photograph, make audio or visual recordings and/or create or use images, including web-based images of me in the manner that Independence Firearms and Training, LLC deems appropriate. I give up the right to inspect or approve the final audio/photos or the finished product(s). I further understand that I will not receive any royalties or monetary payment in connection with such audio/photos. If I wish to opt-out of being included in photography and/or recording media, I will notify Independence Firearms and Training, LLC in writing of my wish to decline.

EMAIL CONSENT: the Range occasionally sends emails with updates, classes, or promotions and will add your email to our subscribers list. We will not spam or sell your email address. You can always unsubscribe from our mailing list by clicking on Unsubscribe. You can also reply to any message, including Unsubscribe in the topic.


***READ CAREFULLY***

The UNDERSIGNED has read and understands the posted rules, knows that anticipated and unanticipated dangers associated with the use of firearms and equipment on public ranges present a risk of DEATH, PERSONAL INJURY, or PROPERTY DAMAGE, and acknowledges that it is not the function, responsibility, or duty of the landowner, Independence Firearms and Training LLC FACILITY, its OFFICERS, DIRECTORS, MEMBERS, AGENTS, or EMPLOYEES to act as guardians of his/her safety.

In CONSIDERATION for being permitted entry to and / or usage of the premised and facilities of Independence Firearms and Training LLC facilities, and on behalf of himself / herself, his/her family, estate, heirs, and assigns, the UNDERSIGNED assumes all the risks of DEATH, PERSONAL INJURY, and/or PROPERTY DAMAGE, and forever releases, discharges, and agrees to hold harmless, land owner, Independence Firearms and Training LLC, its OFFICERS, DIRECTORS, MEMBERS, AGENTS, and EMPLOYEES from all claims, demands, causes of action, or liability of any kind, including attorney’s fees for DEATH, PERSONAL INJURY, and/or PROPERTY DAMAGE occurring during the Undersigned’s presence on or use of the premises and facilities of Independence Firearms and Training LLC.

I IRREVOCABLY AND UNCONDITIONALLY WAIVE, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY RIGHT I MAY HAVE TO A TRIAL BY JURY IN ANY LEGAL ACTION, PROCEEDING, CAUSE OF ACTION, OR COUNTERCLAIM ARISING OUT OF OR RELATING TO MY PRESENCE ON THE RANGE. I CERTIFY AND ACKNOWLEDGE THAT I MAKE THIS WAIVER KNOWINGLY AND VOLUNTARILY.

BY SIGNING THIS WAIVER AND RELEASE OF LIABILITY, I ACKNOWLEDGE THAT I HAVE READ AND WILL ABIDE BY IT AT ALL TIMES. I ALSO UNDERSTAND I AM GIVING UP SUBSTANTIAL RIGHTS, THAT I AM AGREEING NOT TO SUE OWNER, AND THAT I AM RELEASING AND HOLDING HARMLESS OWNER OF ALL LIABILITY. 

By checking this box, I am stating that I am not a Prohibited Person from possessing firearms or ammunition.

I Agree
 


Date: April 19, 2024




First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Participant'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(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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!