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Outpost Guns and Trade/West Texas CHL Waiver

BY MY SIGNATURE BELOW I CERTIFY THAT I AM IN GOOD MENTAL HEALTH AND I AGREE TO HOLD HARMLESS WEST TEXAS CHL / OUTPOST GUNS AND TRADE INC. AND ALL OWNERS, EMPLOYEES, INSTRUCTORS, WHETHER PART TIME OR FULL TIME. I UNDERSTAND AND FULLY ACKNOWLEDGE THE RISK AND DANGER TO MYSELF AND PROPERTY UPON SAID PREMISES OR WHILE PARTICIPATING ON THE RANGE, SO VOLUNTARILY AND IN RELIANCE, UPON MY OWN JUDGEMENT AND ABILITY I HEREBY ASSUME ALL RISK AND ALL LIABILITY FOR LOSS, DAMAGE, OR INJURY (INCLUDING DEATH, LOSS OF LIMBS, PERMANENT DISABLEMENT OR BROKEN BONE) TO MYSELF, FAMILY MEMBER(S), AND ANY PROPERTY FROM ACCIDENTAL OR NEGLIGENT CAUSE WHATSOEVER. I ASSUME AND TAKE ALL RESPONSIBILITY FOR EACH AND EVERY FIREARM, EVERY PROJECTILE USED BY ME OR ANYONE WITH ME, ANY DAMAGE THAT MAY OCCUR IF IT INTENTIONALLY, NEGLIGENTLY OR ACCIDENTALLY DOES DAMAGE OR INJURY TO PERSON(S) OR PROPERTY. ANYONE UNDER THE AGE OF EIGHTEEN (18) YEARS OLD MUST HAVE A PARENT OR GUARDIAN ON PREMISE WITH THEM.

I ACKNOWLEDGE AND AGREE THAT THIS WAIVER SHALL BE IN FULL FORCE AND EFFECTIVE FOR A PERIOD OF TIME COMMENCING ON THE DATE EXECUTED AND ENDING ON THE END OF THE DAY 12 MONTHS FROM THE DATE THIS AGREEMENT IS SIGNED (THE "AGREEMENT TERM"); FOR THE AVOIDANCE OF DOUBT, DURING THE AGREEMENT TERM THIS WAIVER SHALL BE APPLICABLE TO EACH AND EVERY OCCASION THAT I ENTER ON TO THE PREMISES.

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First Customer's Name
First Name*
Middle Name
Last Name*
Phone*
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First Customer's Date of Birth*
Date of Birth
First Customer's Signature*
Parent or Guardian's Email Address
Email*
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Parent or Guardian's Driver's License / ID Card
Driver's License / ID Card Number*
Issuing State*
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*
Middle Name
Last Name*
Parent or Guardian's Date of Birth*
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.


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