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WAIVER AND RELEASE OF CLAIMS
Technon LLC
20801 Biscayne Boulevard, Suite 403
Aventura, FL 33180

Today's Date: September 26, 2020

I, the "Releasor", do hereby apply to use the facility provided by TechnonĀ LLC, and to participate in firearm and airsoft training and self defense instruction (collectively the "Program") provided by Technon LLC, at 20801 Biscayne Blvd. Suite 403, Aventura, FL 33180 and other training locations to be determined at the time of the event(s).

I do hereby represent that I am 18 years of age or older, that I am in good physical health and free from any disabling physical conditions and further acknowledge that Technon LLC, its proprietors and instructors are relying upon these representations to allow my participation in the Program.

I do hereby represent that I am aware that any self defense and/or firearms and airsoft training, including the Program, inherently carries the risk of great bodily injury or loss of life. I do hereby voluntarily, and with full knowledge of these risks, agree to participate in the Program.

In consideration for the opportunity to participate in the Program and to use the facilities provided by Technon LLC, I do hereby forever release Technon LLC, its proprietors, instructors, agents, employees, servants, successors, assigns, owners of the property where the Program is conducted, as well as their servants, employees, agents, successors and assigns, and other participants in the Program (the "Releasees") from responsibility or liability for any loss, injury or damage, however caused, and do hereby waive, indemnify, remise, release and forever discharge the Releasees for any loss, injury or damage, including loss of life, that I may suffer as a result of my participation in the Program and/or the use of the facilities provided by Technon LLC. This release is irrevocable.

In the event that I (or my parent or guardian) am unable to do so, I do hereby grant Technon LLC, its proprietors, instructors, employees, servants or agents, permission to seek out any necessary medical assistance that they deem I may require as a result of participating in the Program, although I understand that there is no obligation upon them to do so.

I do hereby grant permission to Technon LLC, to record my likeness and voice and forever discharge Technon LLC, from any liability resulting from recording my likeness or voice during the Program. I further agree that Technon LLC may use such recordings of my likeness or voice in audiovisual or printed materials for any private or commercial purpose.

This Waiver and Release and all acknowledgments, agreements and representations contained herein shall be binding upon my family, heirs, successors and assigns. I hereby acknowledge that I have read this WAIVER AND RELEASE OF CLAIMS carefully and understand and agree to its terms.

First Releasor's Name

First Name*

Last Name*

Phone*
First Releasor's Date of Birth*
I certify that I am 18 years of age or older
First Releasor's Signature*
Second Releasor's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Releasor's Date of Birth*
Releasor'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*

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

Emergency Contact's Name*

Emergency Contact's Phone Number*
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.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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