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On March 6, 2026 I hereby request permission from the Black Diamond Gun Club, to participate in firearms activities under their supervision.

I fully acknowledge that this is a very dangerous activity, by doing so I, voluntarily expose myself to many hazardous risk, including but not limited to death or grave bodily injury from the following: gunshots (either self inflicted by myself or others, either intentional, negligent or accidental), broken bones, sprains, automobile accidents, lacerations, foreign objects in eyes, or any other injury that may occur while on the premises. 

I agree to wear eye protection and hearing protection, or any other protective clothing necessary to prevent injury, at all times while in shooting areas, will adhere to the following safety rules.

1. Guns shall be handled only at the designated safety areas, or under the RSO's direct supervision.

2. When guns are being handled, the gun shall always be pointed in a safe direction, loaded or unloaded, unassembled or disassembled. "safe direction" is defined as any direction in which if the gun discharged, the bullet would be contained in a dirt backstop or at a designated target designed to be shot during training activities.  Firearm shall be pointed down range at all times.

3. When handling guns, the trigger-finger shall be outside the trigger guard unless actually in the process of shooting. At that time, the trigger-finger shall only be in the trigger guard when raised to the target in preparation to, or while shooting. trigger-finger shall not be in the trigger guard when moving, (except when shooting at targets), reloading, clearing malfunctions, loading or unloading the gun.

In consideration for being granted permission to participate in firearms training activities on this or these dates, I hereby release, indemnify and hold harmless The Black Diamond Gun Club, their agents, employees, independent contractors and volunteers, from any and all liability for personal injury or death, and any or all property damage due to loss which may arise from participating in this firearms training activity. In the event of injury, I agree to be 100% responsible for any and all medical cost associated with treating any injury. 

I agree to expulsion from any and all activities at The Black Diamond Gun Club for violating any safety rules as stated above or posted in the shooting areas. expulsion is also 100% up to the on duty RSO, Black Diamond Gun Club board of trustees and any other personal acting on behalf of the club. 

I enter into the above agreement and release voluntarily and on behalf of my next of kin, heirs, administrators and assigns. 

 March 6, 2026

First Participant's Name
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Second Participant's Name
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Sixth Participant's Name
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Ninth Participant's Name
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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.
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 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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