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Waiver, Release and Indemnity Agreement, and Range Rules Agreement

All those who wish to use Southington Hunt Club Inc, facility in any capacity—whether observing, shooting a personal firearm, shooting a rental firearm, attending classes, participating in matches, —must fill out this form in its entirety. All information provided will be kept confidential, and won’t be distributed to others for any purpose. This waiver is strictly for use by Southington Hunt Club, Inc.

Assumption of Risk: I hereby release Southington Hunt Club, Inc. and it’s collective entities, its owners, employees, officers, directors, volunteers, instructors, guests, agents, and affiliates from all liability for personal injury or property damage through use, in any way, of the facility, its equipment, its firearms, or my own firearm. I agree to indemnify Southington Hunt Club, Inc and its collective entities from responsibility for any claims or demands arising out of such use. I agree to accept and assume any and all risks existing at Southington Hunt Club, Inc. facility and its operations located at 10321 Silica Sand Rd. Garrettsville, Ohio 44231. I acknowledge and understand that shooting activities are hazardous and involve risks both known and unanticipated. I agree to assume all responsibility of these risks, which could result in damage to property and serious physical or emotional injury, including paralysis or death, to others or myself. Possible known and unknown injuries may include, but are not limited to: being shot or injured in any manner by myself or others, shooting others, partial or total loss of eyesight or hearing, burns, amputation, being struck by flying or falling debris or projectiles, disability, and death. I agree to assume all liability for any act, acts, or omission to act, even any negligent, reckless, or criminal act by any other or myself.

Release and Indemnification: I agree that myself and my heirs, guardians, representatives, successors, that myself, and assigns release and forever discharge and agree not to sue Southington Hunt Club, Inc. and its collective entities officers, directors, agents, employees, contractors, volunteers, and guests. I release and discharge these same parties for any and all claims, demands, damages, expenses, causes of action, attachments of property, or liability of any kind whatsoever that I may have for property damage, personal injury, or death resulting from my entering the premises, using the facilities or equipment, or engaging in or observing shooting and other activities at Southington Hunt club, Inc facility and its operations, even if such claims, demands, damages, expenses, causes of action, attachments of property, or liability result from any acts of the Collective Entities, even any negligent act or omission to act including negligent or omitted first-aid or rescue operations or procedures. Further, I agree to indemnify, defend, and hold harmless Southington Hunt Club, Inc. and its collective entities, for any and all claims, damages, demands, causes of action, expenses, attachments of property, attorneys’ fees, court costs, or liability of any kind that any person or entity may have for property damage, personal injury, or death resulting from my entering the premises, using any facilities or equipment, or engaging in or observing shooting and other activities at Southington Hunt Club, Inc. facility and its operations, to the extent that such claims, damages, demands, causes of action, expenses, attachments of property, attorneys’ fees, court costs, or liability result partially or wholly from any negligent act of participant, or any act that would subject participant to strict liability.

Legal Certification: I certify that I have no legal convictions such as but not limited to a felony that would not allow me to operate a firearm legally.

Medical Certification: I certify that I have no medical or physical conditions that could compromise my safety and the safety of others in any activities at Southington Hunt Club, Inc. facility. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer, or else I agree to personally bear the costs of such injury or damage.

Initial Definition of Firearm: For the purposes of this Agreement, a firearm is defined as any pistol/handgun, rifle, shotgun and/or machine gun or device of any description or design whether single shot, semiautomatic or fully automatic which discharges a projectile by the use of gunpowder.

Range Rules: I acknowledge that I have read, understand and agree with the General Range Rules listed below.

a) Never enter Southington Hunt Club with a loaded firearm, other than a CCW weapon or “Open Carry” personal defense weapon, that must remain holstered.
b) On the firing line, always point the muzzle down range. This is the only safe direction.
c) The use of drugs or alcohol on range is prohibited. Persons under the influence of drugs or alcohol will be denied the use of Southington Hunt Club, Inc. facilities.
d) Shooters must be 18 years of age or older. Anyone under the age of 18 years of age must be supervised by a parent or guardian.
e) Commands issued by the Range Safety Officer (“RSO”) or any range staff must be followed immediately.
f) Any violation of the safety rules, operating procedures, or RSO instructions can be cause for removal from the range.

Firearm and Ammunition Safety Rules: I acknowledge that I have read, understand and agree with the Firearm and Ammunition Safety Rules listed below.

a) Know how the firearm operates.
b) Be sure that the firearm and the ammunition are compatible.
c) Keep the chamber open and the firearm unloaded until ready to use.
d) Keep fingers off the trigger and outside the trigger guard until ready to shoot.
e) Tracer, steel core, armor piercing, and black or green tip ammunition are not allowed on the range. All ammunition must be inspected by Southington Hunt Club, Inc personnel before entering shooting.
f) As with any gun range involving live ammunition, Southington Hunt Club Inc, will use its best efforts to provide a reasonably safe and effective training environment. However, it is impossible to create an absolutely safe environment. Through this Contract, Participant acknowledges this fact and assumes the risks associated with using live ammunition.

Range Operating Procedures: I acknowledge that I have read, understand and agree with the Range Operating Procedures listed below.

a) Hearing and eye protection must be worn on the range. See the Range Safety Officer/Instructor if you need to purchase hearing and/or eye protection.
b) All firearms will be unloaded with the chamber open and magazines removed before entering or leaving the range. Unloaded firearms may be transported in gun cases, with the chambers closed.
c) All firearms will be placed on shooting tables with the muzzles pointed down range or in the rifle racks provided, chamber flags required.
d) No one is permitted forward of the firing line, at any time, for any reason until all weapons have been made safe and Range Safety Office/ Instructor has announced range is clear.
e) When a cease-fire is called, immediately set your firearm on the table or rifle rack and step back until the Range Safety Officer/Instructor announces resume firing.
f) It is your responsibility to clean up after yourself. Retrieve your targets and put spent casings in the provided buckets. If brass is on the ground or in the buckets does not belong to you, you may NOT take it for yourself unless approved by the Range Safety Officer/Instructor.

I have fully and carefully read this (1) Waiver, Release and Indemnity Agreement and (2) Range Rules Agreement and understand its contents. I am aware that this is a release from liability and indemnification agreement and a contract between the Southington Hunt Club, Inc including the collective entities and myself and that it imposes limitations to my legal rights. I sign it of my own free will. I certify that I will not operate any firearms or equipment with which I am not completely familiar.

If participant is under the age of 18 years old, a parent or legal guardian must also initial each section and, along with the participant, sign here:

Executed this day of December 9, 2019.

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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
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*

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

Driver's License / ID Card Number*

Issuing State*
Emergency Contact

Emergency Contact Name/Relationship: *

Emergency Contact Telephone: *
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*
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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