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Third Party Minor Waiver & Authorization

I acknowledge that I am the natural parent, adoptive parent, or legal guardian of the minor named in this release and the minor is at least ten (11) years old but not yet 18 years of age.

I hereby authorize the responsible adult named in this form, who I know and trust to be a responsible adult and at least 21 years of age, to accompany, supervise and participate in shooting sports activities at Texas Gun Club. I further acknowledge the risks inherent in firearms training, firearms practice, and the use of firearms.  I also authorize the responsible adult and any team member at Texas Gun Club to provide immediate, life saving medical care should it be necessary.

I hereby agree, on behalf of the minor child, that the minor child will follow and adhere to the TEXAS GUN CLUB, LLC (hereinafter “TGC”) safety rules and procedures while utilizing or being present at TGC, located at 206 Brand Lane, Stafford, Texas 77477.

I, and on behalf of the minor child named herein, agree to release and hold harmless, Texas Gun Club, LCC, their agents, all employees, designees and appointees, contractors, vendors, firearm and ammunition manufacturers from any and all manner of action and actions, cause or causes of actions, suits, damages, judgments, and claims of any kind whatsoever, in law or equity, which may result or are in any way connected or related to injuries sustained while on the grounds or premises of Texas Gun Club whether or not they are engaged in firearms training, firearms exercises, or for any other activity which involves the use or discharge of a firearm whether virtual, simulated or real.

First Minor Name

First Name*

Middle Name

Last Name*

Phone*
First Minor Date of Birth*
First Minor Signature*
Second Minor Name

First Name*

Middle Name

Last Name*

Phone*
Second Minor Date of Birth*
Third Minor Name

First Name*

Middle Name

Last Name*

Phone*
Third Minor Date of Birth*
Fourth Minor Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Minor Date of Birth*
Fifth Minor Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Minor Date of Birth*
Sixth Minor Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Minor Date of Birth*
Seventh Minor Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Minor Date of Birth*
Eighth Minor Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Minor Date of Birth*
Ninth Minor Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Minor Date of Birth*
Tenth Minor Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Minor Date of Birth*
Minor 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*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Responsible Person Information

What is the name of the responsible person *

Relationship of the responsible person to the minor? *
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*

Middle Name

Last Name*

Relationship*

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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