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NAAGA/BRGC Waiver Form for Non-Shooting Activities

NON-SHOOTING ACTIVITY WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNIFICATION, AND HOLD HARMLESS AGREEMENT

I, THE UNDERSIGNED, have voluntarily agreed to participate in the various non-shooting activities sponsored by the National African American Gun Association (hereinafter referred to as “NAAGA”), through its chapter, Bass Reeves Gun Club, Inc. (hereinafter referred to as “BRGC”) or through another chapter of NAAGA.  Those non-shooting activities include, but are not limited to, activities such as hiking, personal physical fitness activities, team 5K walks/runs, ax-throwing, archery, and field trips to museums, historical sites, or other group events (hereinafter referred to as the “activity”).

I consent to participation in the non-shooting activity sponsored by NAAGA, BRGC, or another NAAGA chapter, and acknowledge that I fully understand my participation may involve risk of serious injury, disability or death, including losses which may result not only from my own actions, inactions or negligence, but also from the actions, inactions, or negligence of others, the condition of the facilities, equipment, or areas where the event or activity is being conducted, and/or the rules of play of this type of event or activity.  I understand that if I have any risk concerns, I should discuss the risks associated with my participation with the activity coordinators and event staff, before I sign this document and before the activity begins.

I certify that I am in good health and have no physical condition that would prevent my participation in this activity. Furthermore, I agree to use my personal medical insurance as a primary medical coverage payment if accident or injury occurs. I consent to emergency medical treatment in the event such care is required.

Knowing and understanding the risks involved with participation in the activity, I hereby voluntarily and willingly assume responsibility for all risks and dangers associated with my participation in the activity. I agree that I am financially responsible for any losses resulting from my actions and will indemnify NAAGA, BRGC, and the officers, directors, employees, members, and agents of each of them, for any loss or damage caused by myself during this activity.

In consideration of my participation in the activity, I hereby waive, and, on behalf of myself, my heirs, representatives, executors, administrators, and assigns, do hereby waive all claims, demands, or causes of action against NAAGA, BRGC, and the officers, directors, employees, members, and agents of each of them, arising out of my participation in the activity.

I further agree to indemnify, release, hold harmless, and discharge NAAGA, BRGC, and the officers, directors, employees, members, and agents of each of them from any and all liability in connection therewith except such loss or damage which was caused by the sole negligence or willful misconduct of NAAGA, BRGC, and the officers, directors, employees, members, and agents of each of them.

I expressly agree that this Non-Shooting Activity Waiver of Liability, Assumption of Risk, Indemnification, and Hold Harmless Agreement is intended to be as broad as is permitted by the laws of the state in which NAAGA and BRGC are sponsoring this activity. I further agree that if any provisions of this agreement are held to be invalid, nevertheless, the balance of the agreement shall continue in full force and effect.  I have had sufficient opportunity to read this Non-Shooting Activity Waiver of Liability, Assumption of Risk, Indemnification, and Hold Harmless Agreement and fully understand its terms.  I understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this agreement freely and voluntarily and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

December 26, 2024

 

 

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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
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:*
Parent or Guardian's Email Address

Email*

Confirm Email*
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*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's 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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