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WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNIFICATION, AND HOLD HARMLESS AGREEMENT

I have voluntarily agreed to participate in a course of instruction in the use of firearms or other shooting activity given by the National African American Gun Association (hereinafter referred to as “NAAGA”).

I hereby acknowledge the risks and dangers that exist in my use of any and all firearms and/or defensive tactics and techniques related to my participation in shooting activities. I understand and acknowledge that shooting activities are inherently dangerous and involve both known and unanticipated risks which could result in damage or destruction of property and physical or emotional injury, including, without limitation, paralysis, death, or damage to myself, to property, or to third parties. The risks include, but are not limited to, flying bullets, flying debris, noise, being shot by another, shooting myself or others; partial or total loss of eyesight or hearing; inhalation or other harmful contact with lead or other contaminants; burns and scarring; and being struck by flying or falling objects. I fully understand that participation in these dangerous shooting activities is voluntary and I agree to and do assume these risks. I acknowledge that this list is not inclusive of all possible risks associated with my participation in these shooting activities and that this list in no way limits the extent of this Waiver of Liability, Assumption of Risk, Indemnification, and Hold Harmless Agreement.

I hereby acknowledge and agree that at all times I will abide by all NAAGA range rules; all procedures enforced by the NAAGA Range Safety Officers; and all range rules of any shooting range at which NAAGA is presenting a course of instruction in the use of firearms or other shooting activity.

In consideration for the course of instruction in the use of firearms; use of a shooting range, other facility, or land for such instruction; observation; and other training and services of NAAGA, its instructors, officers, directors, employees, members, and agents, I hereby fully acknowledge, understand, and agree to release, and, on behalf of myself, my heirs, representatives, executors, administrators, and assigns hereby do release NAAGA, its instructors, officers, directors, employees, members, and agents from any and all claims, demands, or causes of action of which I, my heirs, representatives, executors, administrators, or assigns may now have or have in the future against NAAGA, its instructors, officers, directors, employees, members, and agents on account of personal injury, property damage, death, or accident of any kind, arising out of or in any way related to the course of instruction in the use of firearms or other shooting activity provided by NAAGA, its instructors, officers, directors, employees, members, and agents, or my use of any equipment, shooting ranges or other facilities in connection with the course of instruction or shooting activity, and however the injury or damage is caused, including, but not limited to, any alleged negligence of NAAGA, its instructors, officers, directors, employees, members, and agents. I further agree that I will not bring a civil action against NAAGA, its instructors, officers, directors, employees, members, and agents based upon any of the foregoing. I understand that I will be solely responsible for any loss or damage including, but not limited to, death or paralysis, that I may sustain while participating in a NAAGA course of instruction in the use or firearms or other shooting activity, and that by signing this Agreement, I relieve NAAGA, its instructors, officers, directors, employees, members, and agents of any and all liability for such loss, damage or death.

I do hereby further agree to indemnify and hold harmless NAAGA, its instructors, officers, directors, employees, members, and agents from any and all claims, demands, damages, expenses, causes of action, attachments of property, liability, injury, death, or financial compensation which may occur in the present or future related to my participation in any and all activities arising out of, related to, or connected with the discharge of firearms; my participation in the course of instruction in the use of firearms or other shooting activity; my presence on or use of any shooting ranges or other facilities used by NAAGA for its course of instruction in the use of firearms or other shooting activity; and any and all acts or omissions committed by me.

I expressly agree that this Waiver of Liability, Assumption of Risk, Indemnification, and Hold Harmless Agreement is intended to be as broad as is permitted by the laws of the state in which NAAGA is presenting a course of instruction in the use of firearms or other shooting activity. I further agree that if any provisions of this agreement are held to be invalid, nevertheless, the balance of the agreement shall continue in full force and effect. I have had sufficient opportunity to read this Waiver of Liability, Assumption of Risk, Indemnification, and Hold Harmless Agreement and fully understand its terms. I understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this agreement freely and voluntarily and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

Today's Date: March 5, 2021

First Participant's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
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I, as parent or guardian of the above minor under 18 years of age, hereby consent, on behalf of the said minor, to the terms and conditions set forth in this Waiver of Liability, Assumption of Risk, Indemnification, and Hold Harmless Agreement.
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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