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Midwest Shooting Center
FIRING RANGE WAIVER OF LIABILITY

    In consideration of the privilege of being present at and shooting firearms on the Midwest Shooting Center Firing Range, I hereby release and discharge Midwest Shooting Center, LLC., its affiliated companies, and its directors, shareholders, officers, employees, agents and other representatives (collectively, the “Released Parties”) from all liability and any other obligation that may result from any property damage or bodily injury, including death, that I may suffer as a result of my presence at or activities on the Firing Range.  I intend the foregoing release to be a complete and comprehensive waiver of liability for any damage or injury that I may suffer while present in the Midwest Shooting Center Facility, whether caused by any of the Released Parties or by bystanders or other participants in activities at the Midwest Shooting Center Firing Range.  The foregoing release (a) applies to any property loss or damage or bodily injury that results from my presence in the Midwest Shooting Center Facility, the use of a rental firearm or any safety equipment that I rent or borrow from Midwest Shooting Center; and (b) does not apply to property damage or injuries sustained by me as a result of the gross negligence or intentional misconduct of any of the Released Parties.

    I am aware of the danger associated with use of firearms on a firing range, including the risk of injury that may result from my presence at and use of firearms on the firing range.  I am also aware of the risk of injury that result from my handling and use of lead-based ammunition.  I hereby assume all of those risks and agree not to hold any of the Released Parties responsible for any property damage or bodily injury that may result from my assumption of those risks.

    I confirm that I am legally permitted to possess and use firearms in the Midwest Shooting Center Firing Range and elsewhere.  I acknowledge that I have been trained in the safe use of each firearm that I will use in the Midwest Shooting Center Firing Range.  I will seek additional training or assistance from Midwest Shooting Center Personnel should I become unsure about how to handle or use any firearm in a safe manner.

    I will indemnify, defend and hold Midwest Shooting Center harmless from liability for any claims for property damage or bodily injury that allegedly result from my acts or omissions while present in the Midwest Shooting Center Facility.

    I acknowledge that I have read the Range Rules for the Midwest Shooting Center Firing Range, that I understand those rules and that I agree to comply with them as a condition to my presence at and participation in activities on the Midwest Shooting Center Firing Range.  I understand that the Firing Range rules may change from time to time.  I agree to comply with all revisions to those Rules.

    I also acknowledge that any firearm and all ammunition that I have in my possession or under my control while present in any Midwest Shooting Center Facility, including the Firing Range and the retail area, is subject to inspection at any time.

    This Release will be effective for one year after the date shown beneath my signature below.  It will apply each time I am present at any Midwest Shooting Center Facility, including the Firing Range.  I acknowledge that I will not be permitted to be present on the Midwest Shooting Center Firing Range at any time that this Release is not in effect.

     If I am a minor, my parent or legal guardian has signed this Release in the space next to my signature line below.  My parent or legal guardian must be present with me any time that I am present on the Midwest Shooting Center Firing Range.  I acknowledge that I will not be permitted to use the Midwest Shooting Center Firing Range unless I am accompanied by my parent or legal guardian.

     Intending to be legally bound, I am signing this Release below.

Dated: August 26, 2019

First Firing Range User's Name

First Name*

Middle Name

Last Name*

Phone*
First Firing Range User's Date of Birth*
First Firing Range User's Information
I am*
First Firing Range User's Signature*
Second Firing Range User's Name

First Name*

Middle Name

Last Name*
Second Firing Range User's Date of Birth*
Second Firing Range User's Information
I am*
Second Firing Range User's Signature*
Third Firing Range User's Name

First Name*

Middle Name

Last Name*
Third Firing Range User's Date of Birth*
Third Firing Range User's Information
I am*
Third Firing Range User's Signature*
Fourth Firing Range User's Name

First Name*

Middle Name

Last Name*
Fourth Firing Range User's Date of Birth*
Fourth Firing Range User's Information
I am*
Fourth Firing Range User's Signature*
Fifth Firing Range User's Name

First Name*

Middle Name

Last Name*
Fifth Firing Range User's Date of Birth*
Fifth Firing Range User's Information
I am*
Fifth Firing Range User's Signature*
Sixth Firing Range User's Name

First Name*

Middle Name

Last Name*
Sixth Firing Range User's Date of Birth*
Sixth Firing Range User's Information
I am*
Sixth Firing Range User's Signature*
Seventh Firing Range User's Name

First Name*

Middle Name

Last Name*
Seventh Firing Range User's Date of Birth*
Seventh Firing Range User's Information
I am*
Seventh Firing Range User's Signature*
Eighth Firing Range User's Name

First Name*

Middle Name

Last Name*
Eighth Firing Range User's Date of Birth*
Eighth Firing Range User's Information
I am*
Eighth Firing Range User's Signature*
Ninth Firing Range User's Name

First Name*

Middle Name

Last Name*
Ninth Firing Range User's Date of Birth*
Ninth Firing Range User's Information
I am*
Ninth Firing Range User's Signature*
Tenth Firing Range User's Name

First Name*

Middle Name

Last Name*
Tenth Firing Range User's Date of Birth*
Tenth Firing Range User's Information
I am*
Tenth Firing Range User's Signature*
Firing Range User'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*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
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*

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