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Middletown Training LLC Range Waiver



ACKNOWLEDGEMENT OF RISK

I understand that the use of firearms, self-defense training, physical activity, and life in general, is a hazardous activity that can cause death or serious bodily injury. By signing below, I acknowledge that I accept that risk and that I am responsible and liable for my actions while using the Middletown Training range and property.

LIABILITY RELEASE

I agree that the activities involved at the Middletown Training range have inherent risks, hazards, and dangers for anyone, which cannot be eliminated. I understand that these risks, hazards, and dangers include without limitation:

The risk of handling firearms and being near others that have firearms in their possession

The risk of personal injury and/or damage of personal property from shooting events and activities

The risk of possible ear damage from noise

The risk of eye damage

The risk of ricochets from targets or projectiles

The risk of damage to property by others or flying debris

Inclement weather conditions

Animals or insects found in the wild

Exposure to lead dust and particles

NOTE: EYE & EAR PROTECTION IS REQUIRED AT ALL TIMES, NO EXCEPTIONS.

  

5 MAIN SAFETY RULES

1) TREAT EVERY FIREARM AS IF IT WERE LOADED

2) NEVER POINT A FIREARM AT ANYTHING YOU DO NOT INTEND TO SHOOT

3) KEEP YOUR FINGER STRAIGHT AND OFF THE TRIGGER UNTIL YOU ARE READY TO FIRE

4) KEEP YOUR FIREARM ON SAFE UNTIL YOU INTEND TO FIRE

5) KNOW YOUR TARGET AND WHAT LIES BEYOND. ENSURE DOWN RANGE IS UNOCCUPIED

 

OTHER IMPORTANT RULES

Range staff has the right to inspect all firearms, ammunition, and equipment

Load and unload firearms on the firing line ONLY

All firearms must be pointed down range at all times

Uncontrolled fire is strictly prohibited. All shots must be fired at an approved target. You are financially liable for any damages caused to the facility due to your negligence

Only 1 loaded firearm at a time

All firearms must be cleared and properly cased when removed from the firing line

Shooters must put on eye & ear protection prior to entering the range and until the exit

If any malfunction occurs, leave the firearm on the shooting bench & ask a Range Officer for help

Cross firing is strictly prohibited

Unholstering is prohibited on the main firing lines. Only certified members on the dedicated range may unholster.

If a cease fire is called, unload your firearm with the cylinder open or pull the slide back, and step behind the range line

Tracers, explosive, steel case, steel core, or armor piercing ammunition is prohibited

No black powder firearms allowed unless approved by a range RSO

Use and fire at only approved targets

Avoid shooting at target board supports and framework

Never use drugs or alcohol before or while shooting

Shooters under the age of 18 must be accompanied by a parent or legal guardian

Be courteous and aware of other shooters around you

Notify Range Officer of any unsafe practices on the range immediately

Dispose of your own targets and shells. Collection bins will be available

There will be no refund of any kind for those expelled from the range

 

VIOLATION OF ANY OF THE FOLLOWING RULES LISTED ABOVE OR BELOW MAY RESULT IN THE LOSS OF RANGE TIME. YOU WILL BE REMOVED FROM THE PROPERTY IF DEEMED NECESSARY BY A MIDDLETOWN TRAINING STAFF MEMBER WITHOUT REFUND.

 

It is my desire to use the training facility or participate in activities at 650 Water Plant Road Middletown, VA 22645.

I understand the risks and hazards involved, and I recognize serious and potentially life-threatening injuries and even death can occur while firing a firearm on my own or while participating with others in an organized event or by simply being a spectator at the range. I knowingly and willingly acknowledge that, by using the firing range or by otherwise participating in an event at the firing range, I am assuming the risk of loss to my person or property.

I understand it is my responsibility to consult a physician prior to and regarding my activities at the range. I represent that I am physically fit and I have no medical (including but not limited to being under the influence of alcohol or drugs), psychological, legal, or other condition which would prevent my participation at the range or which would in any way place at risk my well-being or the well-being of others. I further represent that I am under no form of restraint or ban against the possession or use of a firearm, including any domestic violence restraining order, and that I am free to own, possess or handle firearms under the laws of the United States of America and the State of Virginia.

Should I lose the right to own or possess a firearm under any law or ordinance after executing this waiver, I will advise Middletown Training of such fact immediately and withdraw myself from any and all activities unless and until I can present reasonable evidence (as determined by Middletown Training) that such ban has been lifted.

I understand that pregnant women and women who believe they are pregnant are not permitted in the range area. It is my responsibility to refrain from using the range while I am pregnant, and not expect Middletown Training to identify if and when a customer is or may be pregnant.

In consideration of being permitted to use the firing range and/or participate in the activities and/or programs at the firing range, I agree to assume full responsibility for any and all risks, injuries, or damages, known or unknown, of any kind and nature, which I may incur as a result of participating at the range, and further knowingly, voluntarily, expressly and without reservation waive any and all claims I, my heirs, executors, legal representatives, administrators or assigns (or any other person claiming or who may claim under me) may have against Middletown Training, its agents, officers, directors, shareholders, employees, instructors, landlord/land owner, volunteers, or representatives for any and all injuries or damages that I may sustain as a result of participating in the range activities.

Further, I, my heirs, executors, legal representatives, administrators or assigns (or any other person claiming or who may claim under me) forever release, waive, discharge, hold harmless, and covenant not to sue Middletown Training, its agents, officers, directors, shareholders, employees, instructors, landlord/land owner, volunteers, or representatives for injuries, including death, or other damages that I may sustain as a result of participating in the range activities including but not limited to those caused by negligence or the acts of others including but not limited to those acts and/or omissions of other participants or persons at the firing range/place of business.

I realize the conduct for which I am releasing those parties listed above may arise from the negligence or carelessness of those vary parties being released, including injuries suffered as a result of defective equipment or property owned, maintained, or controlled by them or others on the premises at the time. Nevertheless, I understand that I am not releasing those persons or entities for intentional misconduct or injury based by them.

I hereby consent to receive medical treatment, which may be deemed or appear reasonable advisable in the event of injury, accident, or illness during the activities at the firing range, whether provided by agents, employees or volunteers of Middletown Training or such other personnel that may respond to any such emergency.

I have read and understand the Middletown Training Rules and any addendums to these rules which are posted at Middletown Training and agree to strictly adhere to the regulations and requirements set forth therein. Additionally, I understand that a copy of the Rules is available to me upon request. If I have any questions pertaining to the proper use of the facility, the rules, the safe use of any firearm, or any other safety issue, I will discuss my question or concern with an employee of Middletown Training before using the range or firearm.

I understand and agree that it is my responsibility to have a functional, operational knowledge of each and every firearm which I bring into Middletown Training and/or any other firearm which I may use or be in control of while in Middletown Training and that I am familiar with general firearm safety and handling procedures. I certify every firearm and ammunition that I bring into the range is in proper working order and that Middletown Training is not responsible for inspection my firearm, ammunition feeding device (magazine) or ammunition to ensure that it is working properly. Nevertheless, Middletown Training reserves the right to inspect any firearm, ammunition, or ammunition feeding device for safety purposes. Further, I understand that no exotic or substandard ammunition is permitted in the range (including but not limited to explosive, armor piercing, or incendiary rounds).

This release shall remain in full force and effect with no expiration for time or other reason. If at any time I specifically refuse to abide by the conditions of this waiver, for any reason, I must advise Middletown Training of my decision and agree that I will not use the facilities at Middletown Training until such time as I have once again executed a waiver acceptable to Middletown Training.

I further agree that I will not bring into the firing range any person under the age of eighteen (18) years of age and in no event will I bring any minor into the range unless I am authorized under law to waive any and all rights including rights to make any claim of liability for personal injury, death, or other possible damages or losses for and on that person's behalf (that is a parent, legal guardian, or written and signed permission from same).

I further agree to assume full responsibility for any and all risks, injuries, death, or damages, known or unknown, of any nature, caused by them or which they might otherwise incur as a result of participating at the firing range and will indemnify Middletown Training and the property owner/landlord and its agents from any liability arising there-from, and further knowingly, voluntarily, expressly and without reservation waive any and all claims they may have against Middletown Training, its agents, officers, directors, shareholder, employees, instructors, landlord, landowner, volunteers, or representatives for any and all injuries, death, or damages that they may sustain as a result of participating in range activities. Any person(s) for whom I am acknowledging such responsibility and waiver are listed with me upon entering the range.









First Participant's Name

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

Email*

Confirm Email*
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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 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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