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Active Shooter Response

Training Center

 

Centennial Gun Club

Able Shepherd, LLC

Duty To Act, LLC

Active Shooter Response Training Center

Participant Agreement

HOLD HARMLESS CLAUSE, COVENANT NOT TO SUE AND RELEASE

COLORADO FIREARMS, AMMUNITION AND ACCESSORIES, LLC AND CENTENNIAL GUN CLUB, LLC AND DUTY TO ACT, LLC is Colorado Limited Liability Companies, ("The Gun Club") which operate a shooting range, instruct classes and conduct contests, tournaments, and other events in techniques of practical firearms use, use of force, alternative force, edged weapons and other activities and events.

Use of the shooting range and/or instruction offered individually and/or during these classes involves the discharge of firearms, and may include the use of alternative force, discharge of ammunition and use of edged weapons by the class members and instructors in various situations including simulated combat situations. Such situations possess certain inherent dangers for the persons and property of the individuals participating in the activity. The Gun Club, its stakeholders, managers, members, its directors, officers and employees, as well as contract employees, independent contractors and volunteers, jointly and severally (hereinafter termed "the Corporation"), and any individual (hereinafter termed "Participant") wishing to avail himself or herself of the shooting range, training and/or facilities of the Corporation for any reason, OR who has chosen to visit, observe or tour the training or facilities of the Corporation, hereby agrees as follows:

AGREEMENT

IT IS UNDERSTOOD AND AGREED that this Agreement and the following Covenant Not to Sue and Release are part of the consideration from the Participant to the Corporation, jointly and severally, for the privilege of using the shooting range, receiving instruction, or visiting, observing or touring the training facilities of the Corporation. Participant hereby agrees that Participant is aware of the fact, and assumes all risks, that there will be personnel of the Corporation and other participants on the training facilities with Participant. Participant assumes any and all risks of injury or damage from them or by them, and releases Corporation from any claim that its employees or agents are or may be negligent in connection with Participant's experience or ability, including but not limited to selection of firearms, ammunition, leather, gear, edged weapons or accessories pursuant to participation in Corporation's training programs, and/or use of the shooting range. Participant expressly agrees that this Participant Agreement, Hold Harmless Clause, Covenant Not to Sue and Release is governed by the laws of the State of Colorado and is intended to be as broad and inclusive as is permitted by Colorado law and that in the event any portion of the Agreement is determined to be invalid, illegal or unenforceable, the validity, legality and enforceability of the balance of the Agreement shall not be affected or impaired in any way and shall continue in full legal force and effect.

Participant voluntarily assumes all risk and danger of injury or death inherent in the use of force, and/or any firearm, ammunition, edged weapons, equipment, or gear provided to or used by the Participant. The Participant and all minor(s) agree to disclose any pre-existing injuries or other health concerns that may limit, interfere or be exacerbated by participation on the range or any training provided and further agrees to assume all risk for any exercises, drills, and aspects of training. If any participant becomes physically unable to participate during a session or feels the training will further aggravate or be harmful to a prior injury, the participant is responsible for curtailing any exercise or training immediately and is to inform the Range Safety Officer or Instructor. PARTICIPANT ACKNOWLEDGES THAT THIS IS A CONTRACT AND AGREES THAT IF A LAWSUIT IS FILED AGAINST THE CORPORATION OR ITS OWNERS, EMPLOYEES OR AGENTS, FOR ANY INJURY OR DAMAGES IN BREACH OF THIS CONTRACT, THE UNDERSIGNED WILL PAY ALL ATTORNEY'S FEES AND COSTS INCURRED BY THE CORPORATION IN DEFENDING SUCH ACTION.


HOLD HARMLESS CLAUSE

Participant hereby promises and agrees and understands that s/he is using the shooting range and/or entering upon this course of instruction or event, or visiting, observing or touring the training or facilities, under the express condition that the Corporation is free from any and all liability and claims for damage by reason of ANY INJURY to any person or persons, including Participant, or property of any kind whatsoever, and to whomsoever belonging, including Participant, from any cause or causes whatsoever while engaged in the course of instruction, event or visiting, observing or touring the training or facilities, offered by the Corporation either on its own premises or at any other place.

Participant hereby promises and agrees, as part of the compensation to be paid the Corporation, for allowing the Participant to use the shooting range and/or receive a course of instruction, participate in the event or observe or tour the training or facilities, to indemnify and save harmless the Corporation from all liability, loss, costs and obligation of any and every kind on account of, or arising out of, any such injuries or losses, however occurring, during the period that the Participant is engaged in using the shooting range, receiving the course of instruction, participating in the event, or visiting, observing or touring the training or facilities.

COVENANT NOT TO SUE

Participant hereby promises and agrees neither Participant nor Participant's heirs, successors, spouse, children, estates, personal representatives, or any other person or entity, will ever institute any action or suit at law or in equity against the Corporation, nor institute, prosecute, or in any way aid in the institution or prosecution of any claim, demand, action or cause of action for damages, costs, loss of services, expenses or compensation for or on account of any damage, loss or injury either to person or property, or both, resulting or to result, past, present or future arising out of the privilege of using the shooting range, receiving the course of instruction, participating in an event, or visiting, observing or touring the training or facilities.

RELEASE

In addition to the foregoing Participant Agreement, Hold Harmless Clause, and Covenant Not to Sue, I hereby RELEASE and forever discharge the Corporation, its successors, and assignees, from each and every right and claim which I now have, or may hereafter have, on account of any injuries, damages, to person or property, or illness that I may sustain as a result of engaging in use of the shooting range and/or instruction, participating in an event, or visiting, observing or touring the training or facilities, whether or not arising from the negligent acts or omission of Corporation or its agents, employees, officers, directors, independent contractors, or volunteers. I specifically release and forever discharge the Corporation, its successors, and assigns on account of any injuries, damages to person or property, or illness that I may sustain as the result of any equipment, facility, weapon, gear or ammunition malfunction or failure. IT IS MY INTENTION by signing this paper to bar me forever from suing and to release the Corporation even as to injuries, damages, to person or property, and illnesses, rights and claims not mentioned here or not known to me.

  • I have read this paper from the beginning to end and I fully understand the paper that I am signing. I have asked and received satisfactory answers to any and all of my questions or concerns regarding this document.
  • The paper that I am signing is: Participant Agreement, Hold Harmless Clause, Covenant Not to Sue and Release
  • I fully understand and know, that signing this paper will prevent me from instituting any suit, or asserting any claim or right I may have for damages now or in the future as a result of using the shooting range, participating in a course of instruction, participating in an event, or visiting, observing or touring the training or facilities.
  • I do hereby recognize and acknowledge that by signing this document I have read, understand and will abide by the Range Safety Rules and that failure to abide by the Safety Rules established by the Corporation could result in temporary or permanent ejection from the range and facility.
  • I understand that by signing this document, the Corporation supports the NRA recommendation to avoid recreational/training shooting during pregnancy. I accept the risk to my (our) fetus if I (we) choose to enter the range, whether planning to shoot or observe. (Note: medical article available at Range Desk to document reasons for this recommendation.)
  • The Corporation respects your privacy, but we require that you provide a valid email address and phone number in order to authenticate this waiver. We also may need to contact you for necessary communication. Sometimes our guests forget to retrieve their ID or we have mechanical problems which require that we cancel your reservation. We also send out information about promotions and sales; you may opt-out of non-essential communication if you so desire. My signature below gives the Corporation permission to contact me via cell or email for any necessary follow up and/or to provide updates and promotions.
  • I understand that by signing this document, I intend that the parties with whom I am agreeing, holding harmless, promising not to sue, and releasing, and each of them, jointly and severally, shall rely only on the statements and information provided herein as accurate and the truth.

The Corporation considers safety extremely important. We require everyone to watch our safety video even if you are registering for an event that does not go into the range.

I HAVE READ THIS DOCUMENT IN ITS ENTIRETY AND WATCHED THE SAFETY VIDEO AND READ THE RANGE RULES. I DO HEREBY ATTEST THAT I AM 18 YEARS OF AGE OR OLDER AND EVERYTHING SUBMITTED HEREIN IS TRUE AND ACCURATE. FURTHERMORE, I DO HEREBY ATTEST THAT I AM LEGALLY ALLOWED TO POSSESS A FIREARM IN THE UNITED STATES. I AM NOT CURRENTLY THE SUBJECT OF EITHER A CRIMINAL, DOMESTIC PROTECTION OR CIVIL RESTRAINING ORDER. I AM NOT UNDER A FELONY INDICTMENT IN ANY COURT, NOR HAVE I EVER BEEN CONVICTED OF A FELONY AS AN ADULT OR JUVENILE. I AM NOT A FUGITIVE FROM JUSTICE. I AM NOT AN UNLAWFUL USER OFOR ADDICTED TO ANY CONTROLLED SUBSTANCE. I HAVE NEVER BEEN ADJUDICATED AS MENTALLY DEFECTIVE OR INCOMPETENT TO MANAGE MY OWN AFFAIRS. I HAVE NEVER BEEN DISCHARGED FROM THE UNITED STATES ARMED FORCES UNDER DISHONORABLE CONDITIONS. I AM A CITIZEN OR LEGALLY IN THE UNITED STATES. I UNDERSTAND THAT THIS DOCUMENT IS A PARTICIPANT AGREEMENT, HOLD HARMLESS CLAUSE, AND COVENANT NOT TO SUE, RELEASE AND INDEMNITY FOR ALL CLAIMS. I UNDERSTAND THAT BY SIGNING THIS AGREEMENT, I AM GIVING UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES IN CASE OF INJURY, DEATH OR PROPERTY DAMAGE. I SPECIFICALLY AND KNOWINGLY AGREE THAT I EXPRESSLY AND IRREVOCABLY INTEND TO RELEASE THE CORPORATION, ITS SHAREHOLDERS, DIRECTORS, OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS FROM THEIR OWN NEGLIGENCE.

I Agree
to the terms and conditions indicated herein

December 10, 2019 Signed

 

 

First Participants Name

First Name*

Middle Name

Last Name*

Phone*
First Participants Date of Birth*
First Participants Pre-existing Medical Disclosure
- None
- Yes (See below)
- I am pregnant, understand the risks, but chose to participate

(Leave Blank if NONE) Enter all pre-existing injuries or health concerns that might limit, interfere or be exacerbated by the training at ASRTC or Centennial Gun Club.
First Participants Signature*
Second Participants Name

First Name*

Middle Name

Last Name*

Phone*
Second Participants Date of Birth*
Second Participants Pre-existing Medical Disclosure
- None
- Yes (See below)
- I am pregnant, understand the risks, but chose to participate

(Leave Blank if NONE) Enter all pre-existing injuries or health concerns that might limit, interfere or be exacerbated by the training at ASRTC or Centennial Gun Club.
Third Participants Name

First Name*

Middle Name

Last Name*

Phone*
Third Participants Date of Birth*
Third Participants Pre-existing Medical Disclosure
- None
- Yes (See below)
- I am pregnant, understand the risks, but chose to participate

(Leave Blank if NONE) Enter all pre-existing injuries or health concerns that might limit, interfere or be exacerbated by the training at ASRTC or Centennial Gun Club.
Fourth Participants Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Participants Date of Birth*
Fourth Participants Pre-existing Medical Disclosure
- None
- Yes (See below)
- I am pregnant, understand the risks, but chose to participate

(Leave Blank if NONE) Enter all pre-existing injuries or health concerns that might limit, interfere or be exacerbated by the training at ASRTC or Centennial Gun Club.
Fifth Participants Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Participants Date of Birth*
Fifth Participants Pre-existing Medical Disclosure
- None
- Yes (See below)
- I am pregnant, understand the risks, but chose to participate

(Leave Blank if NONE) Enter all pre-existing injuries or health concerns that might limit, interfere or be exacerbated by the training at ASRTC or Centennial Gun Club.
Sixth Participants Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Participants Date of Birth*
Sixth Participants Pre-existing Medical Disclosure
- None
- Yes (See below)
- I am pregnant, understand the risks, but chose to participate

(Leave Blank if NONE) Enter all pre-existing injuries or health concerns that might limit, interfere or be exacerbated by the training at ASRTC or Centennial Gun Club.
Seventh Participants Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Participants Date of Birth*
Seventh Participants Pre-existing Medical Disclosure
- None
- Yes (See below)
- I am pregnant, understand the risks, but chose to participate

(Leave Blank if NONE) Enter all pre-existing injuries or health concerns that might limit, interfere or be exacerbated by the training at ASRTC or Centennial Gun Club.
Eighth Participants Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Participants Date of Birth*
Eighth Participants Pre-existing Medical Disclosure
- None
- Yes (See below)
- I am pregnant, understand the risks, but chose to participate

(Leave Blank if NONE) Enter all pre-existing injuries or health concerns that might limit, interfere or be exacerbated by the training at ASRTC or Centennial Gun Club.
Ninth Participants Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Participants Date of Birth*
Ninth Participants Pre-existing Medical Disclosure
- None
- Yes (See below)
- I am pregnant, understand the risks, but chose to participate

(Leave Blank if NONE) Enter all pre-existing injuries or health concerns that might limit, interfere or be exacerbated by the training at ASRTC or Centennial Gun Club.
Tenth Participants Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Participants Date of Birth*
Tenth Participants Pre-existing Medical Disclosure
- None
- Yes (See below)
- I am pregnant, understand the risks, but chose to participate

(Leave Blank if NONE) Enter all pre-existing injuries or health concerns that might limit, interfere or be exacerbated by the training at ASRTC or Centennial Gun Club.
Participants 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*

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's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
ASR Training Center Safety and Range Rules

The ASR Training Center and the Corporation consider safety extremely important.  We require everyone who participates in any Training Center or Gun Club shooting event, watch our safety video and understand the Range Rules.Click to customize text.


I hereby attest that I and all minors attending, have watched the Safety Video/Range Rules. If I have any questions, I will ask the Range Staff for clarification before I enter the range.
Safety Video / Range Rules
Authorization to Videotape/Record

RELEASE

In consideration of the sum of $1.00 and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged by me from Active Shooter Response Training Center and Centennial Gun Club ("Producer"), the undersigned hereby agrees to the following in respect of appearances in and all services rendered by me in connection with Producer's videotaped coverage of my participation in firearms and training activities at Active Shooter Response Training Center.

1.  I hereby grant to Producer the right to record, film, tape, video tape, photograph, telecast (by any means whatsoever) my appearance in the Production; and the right throughout the world to reproduce, print, publish and disseminate, in any medium whatsoever, my name, appearance, pictures, voice and likeness as appearing in the Production, for the purposes of the Production, and for use in and promotion and marketing of Active Shooter Response Training Center and Centennial Gun Club events and activities.

2. I acknowledge that all right, title and interest in and to the Production (including, without limitation, all worldwide copyrights therein) shall, from the inception of creation, be Producer's sole property, free from any claims except those arising out of the matters set forth in Section 1, above by me or any person deriving any rights or interests from me.  In this connection, Producer shall have the exclusive right throughout the world to copyright any of the foregoing in Producer's name (or Producer's designee) as the owner and author thereof and to secure any and all applicable renewals and extensions of such copyright.

3. Other than as set forth herein, I shall not receive any compensation in connection with: (a) the services and performances rendered by me in connection with or as part of the Production; (b) the use and exploitation of the Production; or (c) the exercise of the rights granted to Producer.

4. This agreement shall be binding on Producer and me and our respective licensees, successors and assigns.  In this connection, the rights herein granted to Producer shall inure to Producer's benefit, Centennial GC Holdings, LLC, and their licensees, successors, and assigns.  I warrant and represent that this release does in no way conflict with any existing commitment on my part.  Nothing herein will constitute any obligation on the Producer to make any use of any of the rights set forth herein. 

I have read and understand the terms of this release. *
Yes - I understand and agree
I had questions and they were answered.
No - I do not consent to be recorded in any manner
Category
Category*
How did you hear about ASRTC?*

Today's Date *
Non-Guardian Escort Authorization

I do hereby authorize and give permission for the NON-Guardian(s) named below, to accompany and directly supervise ALL minor(s) stated herein, all activities at the ASRTC, including classes or shooting on the range.  This authorization for named individuals will remain in effect until each minor reaches the age of majority.

Non-Guardians must be 21 years of age or older.  They include family such as Grandparents, Brothers/Sisters, Aunts/Uncles, and friends.  The Photo ID(s) of the non-guardian(s) must be presented at the time of Check-In.

DO NOT complete this section unless you are Authorizing a Non-Parent/Non-Guardian to ESCORT your Minor Child to participate at ASRTC.  


ENTER [Name, Photo ID # of Non-Guardian escorts]
PARENT'S OR GUARDIAN'S ADDITIONAL INDEMNIFICATION for MINOR(S) (Must be completed for participants under the age of 18; this waiver will expire when the minor turns 18.) In consideration of the "Minor(s)" listed herein, being permitted by ASRTC and/or Centennial Gun Club to participate in its activities and to use its equipment and facilities, I further indemnify and hold harmless ASRTC and/or Centennial Gun Club from any and all liability and claims which are brought by, on behalf of all Minors, and are which in any way connected with such use or participation by Minor. Only Parent(s) or court-appointed legal guardian(s) may 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.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Pre-existing Medical Disclosure
- None
- Yes (See below)
- I am pregnant, understand the risks, but chose to participate

(Leave Blank if NONE) Enter all pre-existing injuries or health concerns that might limit, interfere or be exacerbated by the training at ASRTC or Centennial Gun Club.
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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