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RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT

WHEREAS, in consideration of the use of premises, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Undersigned agrees to the following:

The Undersigned hereby acknowledges and agrees to have voluntarily applied to use the shooting range and facilities operated by Bear Arms, LLC. It is understood and acknowledged that the use of a shooting range in which others, as well as the Undersigned, are engaged in shooting activities involves inherent extreme hazards, dangers, and risks. The Undersigned represents that he/she is fully competent to participate in training and shooting activities and that he/she freely, knowingly, and voluntarily assumes the risks of participating in such activities, including the risks of property damage, bodily harm, and death. The Undersigned acknowledges, understands, and will follow the posted and printed Range Safety Rules.

The Undersigned affirms that he/she has refrained from being under the influence of alcoholic beverages or drugs while on property owned and/or controlled by Bear Arms LLC. Further, the Undersigned affirms that he/she understands the consumption of drugs or alcoholic beverages is expressly prohibited on Bear Arms, LLC property, and that any person(s) who, strictly by our observations, appear to be under the influence of alcohol or illicit drugs or emotionally unstable, shall be denied access to any part of the Facility.

The Undersigned acknowledges that he/she can legally possess or rent a firearm and that he/she has no criminal or mental background that restricts the Undersigned from such possession under penalty of law and perjury. The Undersigned acknowledges that certain ammunition is restricted on this range and that he/she may not use armor piercing, incendiary, or tracer ammunition, and that if such is used, any damages resulting from such use may be billed directly to the Undersigned.

In addition, the Undersigned does for himself/herself, and on behalf of his/her heirs, executors, administrators, partners, agents, brokers, insurers, and assigns, hereby release, acquit, indemnify, and hold harmless Bear Arms, LLC, and its officers, directors, owners, partners, agents, brokers, employees, insurers, assigns, and all other related person, entities, affiliates, predecessors, and successors, from any and all claims, actions in law or equity, causes of actions, demands, rights, damages, costs, loss of services, expenses, and compensation whatsoever arising from any damage to property, injury to person, or death, (whether predicated upon negligence or otherwise) in connection with the use of Bear Arms, LLC facilities or participation in any activities therein. The Undersigned takes full legal and financial responsibility for any damage or harm to themselves, other individuals, rental equipment or other range equipment that is a result of the actions of the Undersigned, and received party, and/or any other individual on the premises.

By signing this instrument, the Undersigned affirms that he/she has read, understands, and will comply with the requirements as set for herein, and does hereby agree to defend, indemnify, and hold harmless Bear Arms, LLC and its officers, directors, owners, partners, agents, brokers, employees, insurers, assigns, and all other related persons, entities, affiliates, predecessors, and successors, from any act or omission for which the Undersigned is directly responsible. This instrument binds the Undersigned and his/her executors, administrators, assignees or heirs. 

TODAY'S DATE: December 13, 2018

First Participant's Name

First Name*

Middle Name

Last Name*

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

AGE: *

I would rate my previous experience with firearms as:

Handgun*
Rifle*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

AGE: *

I would rate my previous experience with firearms as:

Handgun*
Rifle*
Third Participant's Name

First Name*

Middle Name

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

AGE: *

I would rate my previous experience with firearms as:

Handgun*
Rifle*
Fourth Participant's Name

First Name*

Middle Name

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

AGE: *

I would rate my previous experience with firearms as:

Handgun*
Rifle*
Fifth Participant's Name

First Name*

Middle Name

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

AGE: *

I would rate my previous experience with firearms as:

Handgun*
Rifle*
Sixth Participant's Name

First Name*

Middle Name

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

AGE: *

I would rate my previous experience with firearms as:

Handgun*
Rifle*
Seventh Participant's Name

First Name*

Middle Name

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

AGE: *

I would rate my previous experience with firearms as:

Handgun*
Rifle*
Eighth Participant's Name

First Name*

Middle Name

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

AGE: *

I would rate my previous experience with firearms as:

Handgun*
Rifle*
Ninth Participant's Name

First Name*

Middle Name

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

AGE: *

I would rate my previous experience with firearms as:

Handgun*
Rifle*
Tenth Participant's Name

First Name*

Middle Name

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

AGE: *

I would rate my previous experience with firearms as:

Handgun*
Rifle*
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*
Check to receive information, news, and discounts by e-mail.
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
If the Undersigned is UNDER 18 (MINOR), please complete the following Authorization for minor to use facility with Adult/Guardian present: I (Adult/Guardian) of Minor give my written consent for the above individual to participate in the shooting of firearms at Bear Arms LLC.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

AGE: *

I would rate my previous experience with firearms as:

Handgun*
Rifle*
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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