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Thank you for taking a moment to fill out this form for Release and Waiver of Liability

IN CONSIDERATION of being permitted to compete, officiate, observe, work for, or participate in any way in any Tallahassee Indoor Shooting Range ("TISR") events or activities ("EVENTS"), or being permitted to enter for any purpose any AREA thereof, I, for myself, my personal representatives, heirs and next of kin:

 

1. Hereby acknowledge, agree, and represent that I will immediately upon entering any of the PREMISES, and will continuously thereafter, inspect the AREAS which I enter and I further agree and warrant that, if at any time, I am in or about the AREAS and I feel anything to be unsafe, I will immediately advise the officials of such and will leave the AREAS and will refuse to participate further. I understand that the nature of the EVENT may not permit me to inspect the AREAS and/or EVENT course and facilities (including adjacent areas thereof) with which I may contact during the EVENT/ACTIVITY prior to my participation and that there may be risks not known to me or that are not foreseeable at this time. I agree that, if at any time, I feel anything to be UNSAFE, I will immediately take all necessary precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further in the EVENT.

 

2. Hereby RELEASE, WAIVE, and DISCHARGE TISR (Tallahassee Indoor Shooting Range), the promoters, participants, sanctioning organizations or any affiliate, subsidiary or subdivision thereof, any person in any AREA, sponsors, advertisers, owners and lessees of premises used to conduct the EVENTS/ACTIVITIES, premises and event inspectors, surveyors, underwriters, consultants and others who give recommendations, directions, or instructions or engage in risk evaluation or loss control activities regarding the premises or EVENTS and for each of them, their directors, officers, agents, and employees, all for the purposes herein referred to as "RELEASEES," FROM ALL LIABILITY TO ME, my personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THEREFORE ON ACCOUNT OF INJURY TO THE PERSON OR PROPERTY OR RESULTING IN THE DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE EVENTS, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. In addition, I COVENANT NOT TO SUE and WAIVE MY RIGHT TO SUE, any of the RELEASEES based upon any claim arising out of any of the EVENTS/ACTIVITES.

 

3. Hereby ASSUME FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH, LOSS OF PROPERTY OR PROPERTY DAMAGE arising out of or related to the EVENTS/ACTIVITES or RENTAL STORAGE LOCKERS whether caused by the NEGLIGENCE OF RELEASEES or otherwise.

 

4. Hereby AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS the RELEASEES and each of them from any loss, liability, damage, or cost they may incur due to claims brought against the RELEASEES arising out of my injury, death, loss of property or damage to my property while I am on the premises or away from the premises and/or while competing, practicing, officiating, observing or working for or for any purpose participating in the EVENTS/ACTIVITIES or RENTAL STORAGE LOCKERS and whether caused by the negligence of the RELEASEES or otherwise.

 

5. Hereby acknowledge that THE EVENTS/ACTIVITIES ARE POTENTIALLY VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. I choose to participate in and observe the EVENTS/ACTIVITIES/STORAGE RENTAL LOCKERS despite all hazards and risks. I also expressly acknowledge that INJURIES MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.

 

6. Hereby agree that this Release and Waiver of Liability, Assumption or Risk and Indemnity Agreement extends to all acts of negligence by the RELEASEES, INCLUDING NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as is permitted by the laws of the State of Florida and that if any portion thereof is held invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and effect.

 

7. Hereby certify that all information contained herein is true and complete to the best of my knowledge and belief. I authorize verification of this information, and release all concerned from any liability in connection therewith. I take full responsibility to request, read and comply with any updates to the Tallahassee Indoor Shooting Range Rules and Regulations. Providing false or misleading information in this form, or failure to adhere to the Tallahassee Indoor Shooting Range Rules and Regulations, shall be grounds for denial, suspension, termination and/or expulsion from the Tallahassee Indoor Shooting Range at the sole discretion of the Tallahassee Indoor Shooting Range and without advance notice or refund.

 

8. Hereby, on behalf of myself, my family, agents, heirs, assigns, executors and administrators, and any minor who I am accompanying, for the consideration of being allowed to enter, rent and/or use the facilities and services of the Tallahassee Indoor Shooting Range, do hereby absolutely and unequivocally waive, release, indemnify, defend and hold harmless the Tallahassee Indoor Shooting Range, its agents, employees, instructors, Range Officers, range personnel, owners, and successors and any other parties of interest from any and all claims, potential claims, demands, liability and/or damages arising out of any injury, loss or disability, physical or otherwise, connected or arising out of or related to the use of, attendance or activities at the facility; and do further specifically agree to indemnify and hold harmless all of the foregoing from and against any claim which may be made by or on behalf of the undersigned or by any third party for personal injury or property damage sustained as a result of the actions or intention of the undersigned in connection with use of the facilities and services of the Tallahassee Indoor Shooting Range. I further understand that the activities on the range can be extremely dangerous, and I voluntarily accept the risks associated therewith.

 

9. Shall at all times exercise safe gun handling practices, and adhere to all of the Tallahassee Indoor Shooting Range Rules and Regulations (made a part hereof by this reference). I accept the responsibility of requesting, reading and adhering to any and all updates to the Tallahassee Indoor Shooting Range Rules and Regulations prior to each use of the firing range. I hereby agree that providing false or misleading information in this form, or failure to adhere to the Tallahassee Indoor Shooting Range Rules and Regulations, shall be grounds for denial, suspension, termination and/or expulsion from the Tallahassee Indoor Shooting Range at the sole discretion of the Tallahassee Indoor Shooting Range and without advance notice or refund.

 

10. Promise that I am in good physical health to participate in the EVENTS/ACTIVITIES and that I will not participate if I am under the influence of alcohol or drugs.

 

11. Acknowledge that the EVENTS/ACTIVITES are strenuous and dangerous and require a certain degree of physical condition, ability, maturity and skill. I acknowledge that I (or my child) have the requisite skills, qualifications, physical and mental ability and training necessary to properly and safely participate in the Activities. I agree that if I have any questions as to what skills, maturity, qualifications, training or physical or mental requirements are necessary to properly participate in the activities, I will direct those questions to the appropriate Tallahassee Indoor Shooting Range staff member on site.

 

12. I understand the nature of physical contact in firearms and personal defense training, and I understand that I have the right to immediately withdraw from any exercise or drill in which the conduct of any party seems beyond the scope of training or makes me uncomfortable. I agree to abide by Tallahassee Indoor Shooting Range etiquette in all matters pertaining to training and I shall not in any way conduct myself inappropriately or take inappropriate advantage of the contact.

 

13. I understand that the Tallahassee Indoor Shooting Range and/or their affiliates may email me, take photographs, video, film and other images of me (or my child) while I (we) are on the premises and/or participating in or observing the EVENTS/ACTIVITIES. I waive any right of privacy, publicity, compensation, copyright, or other rights to those images and I consent to the Tallahassee Indoor Shooting Range using those images or my email address for any purposes.

14. By signing this waiver and/or participating in activities at Tallahassee Indoor Shooting Range, I understand that if I damage and/or destroy equipment I will be liable for all fees associated with repairing or replacing the effected equipment. I understand that there are penalties involved with accidental or negligent damage of Tallahassee Indoor Shooting Range equipment or property. These penalties include (but may not be limited to) the following: 

1. Shots above the designated dotted line on target holders- $1.00 per hole.

2. Shots hitting target carrier clamp- $5.00 per hole.

3. Shots hitting target carrier- $8.00 per shot with a maximum of $5,000.00 dependent on damage.

4. Shots hitting electronic control panel $2,000.00.

5. Shots hitting another shooter's targets (lane crossing)- $5.00 per hole.




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*
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*
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Failure to answer the following questions truthfully, correctly and accurately may result in a loss of shooting privileges, your removal from the range, suspension and/or termination of your membership without refund.
Are you under indictment, scheduled to appear in any court, or have missed an appearance in court for a felony or any other crime for which you could be imprisoned for more than one year?*
No
Yes
Have you ever been convicted in any court of a felony, or pled guilty to a felony, for which the judge could have imprisoned you for more than one year, even if you received a shorter sentence?*
No
Yes
Are you a fugitive from justice?*
No
Yes
Have you ever failed to appear in any court in any state for a felony or any crime that you were charged with that could have led to a sentence of more than one year of imprisonment?*
No
Yes
Have you ever been adjudicated mentally defective (which includes a determination by a court, board, commission, or other lawful authority that you are a danger to yourself or to others or are incompetent to manage your affairs)?*
No
Yes
Have you ever been voluntarily or involuntarily admitted (or committed) to a mental institution?*
No
Yes
Are you subject to a court order restraining you from harassing, stalking, staying out of a specific geographical location, staying a specific physical distance away from, calling, texting, emailing, writing, or threatening a family member, relative, child, spouse, co-worker, peer, or any other person(s)?*
No
Yes
Have you ever been charged with or convicted in any court of a misdemeanor crime of domestic violence or the equivalent thereof?*
No
Yes
Have you ever felt or are you currently feeling suicidal or depressed to the point of suicide?*
No
Yes
SAFETY RULES


1. Always keep the gun pointed in a safe direction.

2. Always keep your finger off the trigger until ready to shoot.

3. Always keep the gun unloaded until ready to use.

4. Treat all guns as if they are loaded.

5. Never point any gun at anything you do not intend to shoot (Laser Rule).

6. When firing the gun Always identify your target and Always know what is beyond the target.

7. Participants will follow all instructions from the Range Safety Officer while at the range.

8. Participants will move in a safe and controlled manner while at the range.

9. Guns will always be holstered/cased and unloaded until the participant is at the firing line.

10. All participants must view the Range Safety Video before proceeding to the firing line.

11. All participants are prohibited from picking up spent brass from the floor.







Acknowledgement
I HAVE READ THIS SHOOTER REGISTRATION AND QUESTIONAIRE, RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, SAFETY RULES AND FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITION RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. I HAVE READ THIS RELEASE AND UNDERSTAND THAT THIS AGREEMENT HAS NO EXPIRATION DATE AND REMAINS IN EFFECT AT ALL TIMES.*
I agree/have read
I disagree/have not read
Consent of Parent or Legal Guardian (if participant is under 18 years of age) I certify that I am the parent or legal guardian of the above named Participant, that I have read and understood the Rules & Regulations and that the Participant is of adequate physical health, maturity, ability and skill and does voluntarily participate in the EVENT/ACTIVITIES. I give my permission for Participant to participate in the EVENT/ACTIVITIES and I execute this ASSUMPTION OF RISK, RELEASE AND WAVIER OF LIABILITY, and INDEMNITY AGREEMENT on his/her behalf.


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*

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. 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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