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Customer Registration, Waiver, & Firing Range Rules

WAIVER OF LIABILITY

I, (CUSTOMER) voluntarily make and grant this Waiver of liability and Assumption of Risk in favor of JAME HOLDINGS d.b.a. UNCLE RUDY'S (UNCLE RUDY'S) as partial consideration and in addition to the monies paid to UNCLE RUDY'S for the opportunity to use the gun range, archery range, facilities, equipment, materials, and/or other assets of UNCLE RUDY'S; and/or to receive assistance, training, guidance, tutelage and/or instruction from the personnel of UNCLE RUDY'S; and/or to engage in the activities, events, sports, festivities, and/or gatherings sponsored by UNCLE RUDY'S; I do hereby waive and release JAME HOLDINGS, LLC d.b.a. UNCLE RUDY'S and all its employees from liability for any and all claims, whether in contract or of personal injury, exposure to lead, bodily injury, property damage, damages, losses and/or death that may arise from my aforementioned use and/or receipt, as I understand and recognize that there are certain risks, dangers, and perils connected with such use and/or receipt, which I hereby acknowledge have been fully explained to me and which I fully understand, and which I nevertheless accept, assume, and undertake after inquiry and investigation of extent, duration, and completeness wholly satisfactory and acceptable to me, I further agree to use my best judgment in undertaking these activities, use and/or receipt and to faithfully adhere to all safety rules, instructions and recommendations, whether oral or written.

I hereby certify that I am a competent adult assuming these risks of my own free will, being under no compulsion or duress. I hereby waive any liability you may incur to me, because of your ownership or control of a dangerous instrumentality which is the source of injury to me. I further waive any liability you may have to me for injury resulting from your simple negligence and for any obligation you may have to reimburse me for my liability to others, regardless to cause. All activity in the public areas of the UNCLE RUDY'S facility is recorded by video surveillance, and may include audio. By signing this document, I consent to being recorded (video, audio, or still photographic) and grant full unlimited use (including law enforcement and safety video) of any video recorded of my likeness by UNCLE RUDY'S without compensation or restrictions.

This Waiver and Assumption of Risk is effective from October 6, 2022 and may not be revoked, altered, amended, or voided without the express prior written consent of JAME HOLDINGS, LLC d.b.a. UNCLE RUDY'S.

FIRING RANGE RULES

1. All Federal, State, and Local firearm laws must be obeyed. 
2. Range Master and Range Staff have the right to inspect all firearms, ammunition, and equipment at anytime.
3. Everyone must follow the Four Basic Rules of Firearm safety at all times:

1. Always treat firearms as if they are loaded.
2. Never point a gun at anything you are not willing to shoot or destroy.
3. Keep your finger straight and off the trigger until your sights are on the target and you are ready to shoot. 
4. Be sure of your target, what is in line with it, and what is beyond it.

4. Firearms will be unloaded prior to entering, and leaving the range with slides locked back, and cylinders kept open.
5. All shooters must be wearing EYE and EAR protection prior to entering the range.
6. Firearms will stay in the assigned lane at all times.
7. No drawing from a holster and firing. No shooting at objects on the floor, walls, or ceiling.
8. A maximum of two shooters is allowed per lane.
9. Firearms on the firing line will be pointed directly down-range at all times.
10. If you intend to do bodily harm to yourself or others you are not permitted on the range.
11. No open toed shoes allowed on the range.
12. All Class III weapons must be checked in by the Staff.
13. No black powder firearms are allowed on the range.
14. Do not use booth dividers for barricade shooting, or as a gun support while shooting.
15. Rapid fire is only allowed with prior permission.
16. Should a misfire or other malfunction occur, keep the firearm pointed downrange and get help from a staff member.
17. All brass must be swept forward of the firing line.
18. Rental firearms will always be returned in the range bag provided, and in a safe condition.
19. Only ammunition purchased from Uncle Rudy's can be used in our rental firearms.
20. If you are pregnant, you are not allowed in the range for the health and safety of your baby.
21. Food, drink, gum, and tobacco products (including e-cigarettes) will not be permitted in the range.
22. Never move forward of the firing line. If anything falls forward ask a staff member for assistance.
23. Remember the word "Rifle" for a test at the end.

24. Accidental discharges, damages, or injuries must be reported to a staff member immediately, no matter how minor they may seem.
25. Anyone believed to be under the influence of alcohol or drugs will be refused use of the range, and asked to leave the premises immediately.
26. Shooters under the age of 18 shooting rifles, must be accompanied by a responsible adult over 21.
27. Shooters under the age of 21 shooting handguns, must be accompanied by a responsible adult over 21.
28. All shooters must be able to read, write, and understand English.
29. Everyone is a Range Safety Officer. YOU HAVE AN OBLIGATION TO CALL "CEASE FIRE!" IF YOU SEE ANYTHING UNSAFE AND REPORT IMMEDIATELY TO UNCLE RUDY'S STAFF.
30. Shooters who shoot the range baffles, floor, supports, or target retrieval system will be charged for the damage and may be barred from the range. Charges start at $25 and may be more, depending on the damage.
31. Shooters may bring their own targets as long as they are at least 18" x 23". reusable blanks are available for minimal cost for targets that don't meet our minimum size.

If any of the above rules are violated, you will be asked to leave the range.

Date: October 6, 2022

First Customer Name

First Name*

Middle Name

Last Name*

Phone*
First Customer Date of Birth*
First Customer Information
Are you currently on probation?*
Have you ever been convicted of a felony?*
Have you been issued a restraining order for committing acts of domestic Violence?*
Have you ever been adjudged mentally incompetent?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*
First Customer Signature*
Second Customer Name

First Name*

Middle Name

Last Name*
Second Customer Date of Birth*
Second Customer Information
Are you currently on probation?*
Have you ever been convicted of a felony?*
Have you been issued a restraining order for committing acts of domestic Violence?*
Have you ever been adjudged mentally incompetent?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*
Second Customer Signature*
Third Customer Name

First Name*

Middle Name

Last Name*
Third Customer Date of Birth*
Third Customer Information
Are you currently on probation?*
Have you ever been convicted of a felony?*
Have you been issued a restraining order for committing acts of domestic Violence?*
Have you ever been adjudged mentally incompetent?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*
Third Customer Signature*
Fourth Customer Name

First Name*

Middle Name

Last Name*
Fourth Customer Date of Birth*
Fourth Customer Information
Are you currently on probation?*
Have you ever been convicted of a felony?*
Have you been issued a restraining order for committing acts of domestic Violence?*
Have you ever been adjudged mentally incompetent?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*
Fourth Customer Signature*
Fifth Customer Name

First Name*

Middle Name

Last Name*
Fifth Customer Date of Birth*
Fifth Customer Information
Are you currently on probation?*
Have you ever been convicted of a felony?*
Have you been issued a restraining order for committing acts of domestic Violence?*
Have you ever been adjudged mentally incompetent?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*
Fifth Customer Signature*
Sixth Customer Name

First Name*

Middle Name

Last Name*
Sixth Customer Date of Birth*
Sixth Customer Information
Are you currently on probation?*
Have you ever been convicted of a felony?*
Have you been issued a restraining order for committing acts of domestic Violence?*
Have you ever been adjudged mentally incompetent?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*
Sixth Customer Signature*
Seventh Customer Name

First Name*

Middle Name

Last Name*
Seventh Customer Date of Birth*
Seventh Customer Information
Are you currently on probation?*
Have you ever been convicted of a felony?*
Have you been issued a restraining order for committing acts of domestic Violence?*
Have you ever been adjudged mentally incompetent?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*
Seventh Customer Signature*
Eighth Customer Name

First Name*

Middle Name

Last Name*
Eighth Customer Date of Birth*
Eighth Customer Information
Are you currently on probation?*
Have you ever been convicted of a felony?*
Have you been issued a restraining order for committing acts of domestic Violence?*
Have you ever been adjudged mentally incompetent?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*
Eighth Customer Signature*
Ninth Customer Name

First Name*

Middle Name

Last Name*
Ninth Customer Date of Birth*
Ninth Customer Information
Are you currently on probation?*
Have you ever been convicted of a felony?*
Have you been issued a restraining order for committing acts of domestic Violence?*
Have you ever been adjudged mentally incompetent?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*
Ninth Customer Signature*
Tenth Customer Name

First Name*

Middle Name

Last Name*
Tenth Customer Date of Birth*
Tenth Customer Information
Are you currently on probation?*
Have you ever been convicted of a felony?*
Have you been issued a restraining order for committing acts of domestic Violence?*
Have you ever been adjudged mentally incompetent?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*
Tenth Customer Signature*
Customer 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 Email Address

Email*

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

Emergency Contact's Name*

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

Driver's License / ID Card Number*

Issuing State*
We're Almost Done... Just a few last questions:

Member #, if known
What word were you asked to remember in the Range Rules?*
I have read this agreement in its entirety. I have had the opportunity to ask the staff any questions pertaining to this activity and understand this agreement fully (If you have questions and filling this out on our website, we encourage you to stop now and call us at 812-962-7663 or email us at store@unclerudys.com prior to continuing). I further understand that this is a legally binding document and may not be altered once it has been digitally signed and submitted to Uncle Rudy's.*
Note: Please make sure that you've read and double checked all of your answers. We take safety very seriously here at Uncle Rudy's, and our questions are designed to ensure that you have read and understand our range rules. If you have any questions, STOP NOW and ask one of our Range Safety Officers. Thanks for visiting Uncle Rudy's - Training SAFE and RESPONSIBLE gun owners - one shot at a time!*
Do you have any experience with firearms?*
If Yes, what firearms do you have experience with?
Rifle
Revolver
Semi-Automatic Pistol
How would you rate your previous experience with firearms? Our staff is here to help - Answering this question honestly will help us make sure you have the BEST experience with us!


Parent or Guardian Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian Date of Birth*
Parent or Guardian Information
Are you currently on probation?*
Have you ever been convicted of a felony?*
Have you been issued a restraining order for committing acts of domestic Violence?*
Have you ever been adjudged mentally incompetent?*
Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance?*
Parent or Guardian 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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