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Polaris Defensive LLC

Waiver of Claims, Release of Liability, Assumption of Risk, Indemnification & Hold Harmless Agreement.

The terms and conditions of this Waiver of Claims, Release of Liability, Assumtion of Risk, Indemnification, and Hold Harmless Agreement (the "Agreement") apply to all shooting ranges or venues owned, operated, leased, and/or being temporarily used by Polaris Defensive LLC (hereinafter the "Owner"), and its officers; officials, directors, members, owners, shareholders, employees, agents and representatives, including all of their training services, hereinafter known as the "Activity". This agreement includes property of any form, tangible or intangible, including real estate, buildings, erections, goods, products, firearms, ammunition, or any object owned, whether wholly or partially by Polaris Defensive LLC, (collectively, "Property")

THIS IS A BINDING LEGAL AGREEMENT. Read it carefully before signing. By signing this Agreement, you are waiving important legal rights, including the right to sue or claim compensation following an accident, injury or death.

In consideration of the permission granted by Polaris Defensive LLC ("Owner") allowing me to participate in the following Activity including shooting, I, herein referred to as "Participant," together with my parent or guardian, if I am under the age of eighteen or under a legal disability, represent, covenant and agree, on behalf of myself and my heirs, assigns, and any other person claiming by, under or through me, as follows:

I acknowledge that I am physically and mentally capable of performing the Activity. I further acknowledge that I am not under the influence of any illicit drugs or alcohol, nor have I or will have I taken any medication within 24 hours that may impede my ability to properly participate in the Activity. I am not depressed or having suicidal or homicidal thoughts nor have I made plans to carry out an act of suicide or homicide.

I Agree

I understand that due to the dangers associated with the Activity, I must follow, enforce, and obey any and all safety precautions, safety rules, policies, and procedures implemented by the Owner.

I Agree

I understand that if I fail to follow any safety precautions, policies, or procedures, I will not be permitted to participate in the Activity, and I will be asked to vacate the Premises.

I Agree

I understand and acknowledge that any training, class, or certification course, that involves any type of firearm(s), Conducted Energy Weapons, stun devices, other weapons, use of force, use of simulation tools, including, but not limited to, the Activity, includes inherent dangers, including, but not limited to, risk of death, substantial bodily harm, injuries, illness, psychological trauma, and property damage or other harm could occur to me or others. I understand and acknowledge that I am responsible for fully appreciating these risks and any others that may exist. I agree that I am voluntarily participating in the Activity and the use of Premises where the Activity is taking place. I knowingly and voluntarily assume and accept all risks, including, but not limited to, the risk of death, substantial bodily harm, injuries, illness, and property damage or any form of harm that may occur in connection with the Activity. I understand and acknowledge that Owner is NOT responsible to any loss of, or damage to my personal property, and I accept sole responsibility for my property. I understand and acknowledge that in participating in the Activity, I do so entirely at my own risk.

I Agree

I knowingly and voluntarily waive any and all claims against Owner, its affiliates, subsidiaries, members, shareholders, employees, officers, instructors, assistants, guests, agents, insurers, family members, representatives, successors, or assigns (hereinafter referred to as, the "Released Parties") for any and all injuries, damages, losses, illness or claims, whether known or unknown, which arise during or result from my participation in the Activity, regardless of whether or not cause in whole or part by the fault of any of the Released Parties. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence on the part of the Released Parties. I release and forever discharge the Released Parties from all such claims.

I Agree

I agree to indemnify, defend and hold the Released Parties harmless from all losses, liabilities, damages, illness, cost or expenses (including but not limited to reasonable attorneys' fees and other litigation costs and expenses) incurred by any of the Released Parties as a result of any claims or suits that I (or anyone claiming by, under or through me) may bring against any of the Released Parties to recover any losses, liabilities, costs, damages, or expenses which arise, during or result from my participation in the activity, regardless of whether or not caused in whole or part by the fault of any of the Released Parties.

I Agree

Polaris Defensive LLC, their Instructors, and Affiliates do NOT establish, recommend, or endorse any use of force procedures, general orders, or tactics.

I Agree

Participant has been advised that Owner, its instructors, agents, representatives, and affiliates do NOT give and are not giving legal advice or guidance or creating or forming any form of attorney/client or other relationship. Contents and materials presented in class or training may be more restrictive or lenient than legal standards of care in Participant's jurisdiction. Participant acknowledges and agrees that they have been directed to consult with their personal attorney, local law enforcement agency, governmental legal advisor, or other applicable party or agency for any legal advice, guidance, training, or direction.

I Agree

Polaris Defensive LLC maintains that the health and safety of our customers, guests, and employees is a top priority. Owner cannot guarantee that you will not be exposed to communicable diseases, including Coronavirus during your Activity. Participants should evaluate their own risk, in conjuction with their healthcare provider, in determining whether to attend. People who show no symptoms can spread a virus if they are infected; any interaction with the general public poses an elevated risk of being exposed to communicable diseases from virus or bacteria. By coming to the range, store, and/or classroom, you acknowledge and agree that you assume these inherent risks associated with attendance.

I Agree

If any portion of this WAIVER, RELEASE, INDEMNIFICATION, ASSUMPTION OF RISK, AND HOLD HARMLESS AGREEMENT shall be deemed by a Court of competent jurisdiction to be invalid, the remainder of this release from liability shall remain in full force and effect, and the offending provision or provisions severed therefrom.

I Agree

I UNDERSTAND THAT THIS MEANS THAT I AGREE NOT TO SUE ANY OR ALL OF THE "RELEASED PARTIES" FOR ANY INJURY RESULTING TO MYSELF IN ANY SAID ACTIVITIES AND /OR EVENT(S)

I Agree

By signing this Agreement, I acknowledge that I understand its content and that this release cannot be modified orally.

I Agree

I hereby acknowledge that I fully understand this WAIVER, RELEASE, ASSUMPTION OF RISK, INDEMNIFICATION, AND HOLD HARMLESS AGREEMENT, and I execute it voluntarily.

I Agree

I understand that Owner may terminate the Activity at its discretion and whenever Owner sees fit.

I Agree

I acknowledge that I have carefully read this "WAIVER OF CLAIMS, RELEASE OF LIABILITY, ASSUMPTION OF RISK, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT" and fully understand that it is a release of any and all liability of the Released Parties. I expressly agree to release and discharge the Released Parties from any and all claims or causes of action, and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action against the Released Parties for wrongful death, personal injury, illness, property damage and other causes of action known or unknown. I understand that I am giving up and waiving rights that I may otherwise have to bring legal action against the Released Parties, and I do so voluntarily.

I Agree

I hereby acknowledge that I fully understand this "WAIVER OF CLAIMS, RELEASE OF LIABILITY, ASSUMPTION OF RISK, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT.

I Agree

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's NJ FID Number (NJ CCW Class or Qualification only)

NJ FID/SBI Number
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's NJ FID Number (NJ CCW Class or Qualification only)

NJ FID/SBI Number
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's NJ FID Number (NJ CCW Class or Qualification only)

NJ FID/SBI Number
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's NJ FID Number (NJ CCW Class or Qualification only)

NJ FID/SBI Number
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's NJ FID Number (NJ CCW Class or Qualification only)

NJ FID/SBI Number
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's NJ FID Number (NJ CCW Class or Qualification only)

NJ FID/SBI Number
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's NJ FID Number (NJ CCW Class or Qualification only)

NJ FID/SBI Number
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's NJ FID Number (NJ CCW Class or Qualification only)

NJ FID/SBI Number
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's NJ FID Number (NJ CCW Class or Qualification only)

NJ FID/SBI Number
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's NJ FID Number (NJ CCW Class or Qualification only)

NJ FID/SBI Number
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Non-Prohibited Person Declaration
Are you under indictment or information in any court for a felony, or any other crime for which the judge could imprison you for more than one year, or are you a current member of the military who has been charged with violation(s) of the Uniform Code of Military Justice and whose charge(s) have been referred to a general court-martial?*
Have you ever been convicted in any court, including a military court, of a felony, or any other crime for which the judge could have imprisoned you for more than one year, even if you received a shorter sentence including probation?*
Are you a fugitive from justice?*
Have you ever been adjudicated as a mentally defective OR have you ever been committed to a mental institution?*
Have you ever been discharged from the Armed Forces under dishonorable conditions?*
Are you subject to a court order, including a Military Protection Order issued by a military judge or magistrate, restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner?*
Have you ever been convicted in any court of a misdemeanor crime of domestic violence?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*

Affirmed on this date. *
Please read and acknowledge the following Gun Safety Rules
  1. Treat every gun as if it is loaded.
  2. Keep your finger off the trigger until you have made a conscious decision to fire.
  3. Do not point the muzzle of the gun at anything you are not justified to destroy.
  4. Know your target and what is beyond your target.
I have read and understood the above rules of gun safety.*
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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's NJ FID Number (NJ CCW Class or Qualification only)

NJ FID/SBI Number
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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