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LIVERMORE PLEASANTON ROD & GUN CLUB RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT FOR FIREARM USE 

I/WE, hereby acknowledge that I/WE have voluntarily applied to participate in FIREARM USE at Livermore Pleasanton Rod & Gun Club. 

In consideration of being allowed to participate in any way in this activity and/or being permitted to enter and use Club facilities, I/WE hereby agree to the conditions set forth below: 

I/WE FULLY UNDERSTAND AND ACKNOWLEDGE THAT:

FIREARM USE IS A HAZARDOUS RECREATIONAL ACTIVITY, AND I AM VOLUNTARILY PARTICIPATING IN THIS ACTIVITY WITH FULL KNOWLEDGE OF THE DANGER INVOLVED, AND I/WE HEREBY AGREE TO ACCEPT ANY AND ALL RISK OF INJURY, PARTIAL OR TOTAL DISABILTY, DISMEMBERMENT, PARALYSIS OR DEATH. 


  1. The social and economic losses and/or dangers, which could result from the risks and dangers above, could be severe.
  2. These risks and dangers may be caused by adverse weather, by the action, inaction, or negligence of the participant, or the action, inaction, or negligence of others, including, but not limited to the "releasees" named below.
  3. There may be other risks which are not known to us or which are not foreseeable at this time.
  4. I/WE fully accept and assume any and all risks and dangers associated with the activity of FIREARM USE whether the risks are known or unknown.
  5. I/WE fully accept and assume any and all risks and responsibilities for the losses and/or damages following such partial or total disability, dismemberment, paralysis, or death, however caused, and whether caused in whole or in part by the negligence of the "releasees" named below.
  6. I/WE hereby release, waive, discharge, and covenant not to sue LIVERMORE PLEASANTON ROD & GUN CLUB, their affiliated organizations, their officers, agents, employees, volunteers and heirs from all liability. MY/OUR personal representatives, attorney's, assignees, executors, heirs, and next of kin accept and release for any and all claims, demands, losses or damages on account of any injury, including but not limited to the death of the participant, other people or damage to property, suffered by ME/US during, or enroute to or from the activity caused, or alleged to be caused in a whole, or in part, by the negligence of the "releases" or otherwise.
  7. I/WE hereby consent to and authorize the administration of all emergency medical treatment deemed necessary by the Club staff or its agents and general medical services rendered, or assisted by the Club staff for the person(s) named in this instrument. 

I/WE HAVE CAREFULLY READ THE ABOVE WAIVER AND RELEASE, AND UNDERSTAND THAT I/WE GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND I/WE SIGN IT VOLUNTARILY, WITHOUT INDUCEMENT, OF MY/OUR FREE WILL. 

DATE: April 27, 2024

RULES AND SAFETY INFORMATION 

  1. Everyone must check in at the front office on the respective range.
  2. A parent or guardian must accompany handgun shooters under the age of 21; rifle and shotgun shooters under the age of 18. Children on LPRGC property must be supervised at all times.
  3. When transporting firearms on or off the ranges, they shall be cased or have their actions open and pointed upward for the rifle pistol range; over the shoulder or downward for the shotgun range.
  4. Eye and ear protection is required for all spectators and shooters on both ranges, there will be no exceptions.  
  5. RIFLE RANGE
    A: There is NO SMOKING east of the BLUE LINE, and the use of ALCOHOLIC BEVERAGE is forbidden while on either range (archery, rifle, or pistol).
    B: During ceasefires or target checks, the range is closed to shooting or the handling of firearms, whether cased or uncased. All firearms shall be unloaded, placed on the bench with the action open, and muzzle pointed down range. Everyone on the firing line will stand behind the Red Cease Fire Line and shall not handle any firearms or benched equipment while shooters are downrange.
    C: No firing of any firearm is permitted in front of the shooting benches, except during a LPR&GC sanctioned, range master supervised event.
    D: Rapid fire (more than one round per second) is not permitted except during a LPR&GC sanctioned, range master supervised event.
    E. Only paper targets on designated target frames will be allowed.
    F. Only slugs and sabots are permitted in shotguns.
  6. TRAP RANGE
    A: No larger than 3 dram 7 1/2 number shot is allowed on Trap Range. No magnum shells are allowed period.
    B: No unauthorized personal are allowed in the TRAP PITS!!!!!!!!
  7. The Range Master or Range Safety Officer shall enforce the range rules and range safety. Anyone found violating the range safety rules, handling of firearms in an unsafe manner or damaging LPR&GC property or equipment shall be asked to leave the grounds immediately without refund of range fees and may be subject to prosecution for said property damage.
  8. All shooters are required to exhibit good sportsmanship, safety, and common courtesy at all times. Spectators are required to remain behind the fence area on the Rifle Range or behind the sidewalk on the Trap Range.
  9. If you have any questions about your firearm, ammunition or any unsafe condition (jam, misfire, etc.) please contact the Range Master or any Range Safety Officer.
  10. You must be able to understand English because all commands are conveyed in English.
  11. No concealed or holstered firearms may be carried on either Range. No incendiary, tracer or other special ammunition is allowed on either Range. 
Please select who will be participating...
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First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
What type of shooting activities do you participate in at our Range? Please check all activities of interest noted below.
Pistol Range
Pistol Steel Challenge
Rifle Range
Trap Shooting
Women's Events
Bunker
First Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Phone Number

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.


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*

Last Name*

Relationship*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
What type of shooting activities do you participate in at our Range? Please check all activities of interest noted below.
Pistol Range
Pistol Steel Challenge
Rifle Range
Trap Shooting
Women's Events
Bunker
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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