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This document registers a new member to shoot, constitutes understanding of the terms & conditions of a membership with Colonial Shooting Academy, as well as adherence to range rules and store policies. 

WAIVER AND RELEASE FROM LIABILITY FOR SHOOTING RANGE

 

I, HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge COLONIAL SHOOTING ACADEMY and RIVER CITY RANGE, LLC and its agents, managers, members, sponsors, employees, officers, directors, affiliates, successors and assigns, of and from any and all claims, demands, debts, contracts, expenses, causes of actions, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I ever had or may have, arising from or in any way related to my participation in any of the events or activities conducted by, on the premises of, or for the benefit of, COLONIAL SHOOTING ACADEMY and RIVER CITY RANGE, LLC, provided that this waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct.

I UNDERSTAND THAT THE ACTIVITIES THAT I WILL PARTICIPATE IN ARE INHERENTLY DANGEROUS, THAT FIREARMS BY THEIR VERY NATURE ARE UNPREDICTABLE AND MAY CAUSE SERIOUS OR GRIEVOUS INJURIES, INCLUDING BODILY INJURY, DAMAGE TO PERSONAL PROPERTY AND/OR DEATH. I UNDERSTAND THAT CERTAIN RISKS, DANGERS, AND INJURIES DUE TO INADEQUATE OR DEFECTIVE EQUIPMENT, AND ALL OTHER POTENTIAL DANGERS INHERENT TO ACTIVITIES INVOLVING FIREARMS EXIST. On behalf of myself, my heirs, assigns and next of kin, I waive all claims for damages, injuries and death sustained by me or to my property that I may have against the aforementioned released party to such activity whether caused by the ordinary negligence of the released party or otherwise, with the exception of acts of gross negligence, or intentional, willful or wanton misconduct as indicated above.

By this Waiver, I assume any risk, and take full responsibility and waive any claims of personal injury, death or damage to personal property associated with COLONIAL SHOOTING ACADEMY and RIVER CITY RANGE, LLC, including but not limited to target shooting, using the facilities or equipment in any manner, form or fashion, and engaging in any other related activities. In the event that I cause injury to another person or their property at COLONIAL SHOOTING ACADEMY and RIVER CITY RANGE, LLC, I agree to indemnify and hold harmless COLONIAL SHOOTING ACADEMY and RIVER CITY RANGE, LLC and its agents, managers, members, sponsors, employees, officers, directors, affiliates, successors and assigns from any and all claims for injuries, damages brought by that injured person as a result of my acts or omissions whether negligent or otherwise.

I hereby expressly consent to COLONIAL SHOOTING ACADEMY and RIVER CITY RANGE, LLC and its agents, managers, members, sponsors, employees, officers, directors, affiliates, successors and assigns, the irrevocable and perpetual right to use my picture, image, voice and other reproductions of the same, (whether by still camera image or video film) in any manner for marketing, advertising purposes or for the purpose of trade. I waive and release any claim I may have against COLONIAL SHOOTING ACADEMY and RIVER CITY RANGE, LLC and its agents, managers, members, sponsors, employees, officers, directors, affiliates, successors and assigns for defamation, invasion of privacy or publicity and any other claims in connection with such use by COLONIAL SHOOTING ACADEMY and RIVER CITY RANGE, LLC and its agents, managers, members, sponsors, employees, officers, directors, affiliates, successors and assigns.

This WAIVER AND RELEASE contains the entire agreement between the parties, and supersedes any prior written oral agreements between them concerning the subject matter of this WAIVER AND RELEASE. The provisions of this WAIVER AND RELEASE may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties.

The provisions of this WAIVER AND RELEASE will continue in full force and effect even after the termination of the activities conducted by, on the premises of, or for the benefit of COLONIAL SHOOTING ACADEMY and RIVER CITY RANGE, LLC, whether by agreement, by operation of law, or otherwise.

I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I understand and confirm that by signing this WAIVER AND RELEASE I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law. I am 18 years of age or older and mentally competent to enter into this waiver.

                    July 24, 2024

 

SAFETY RULES

+ All firearms must be cased & unloaded when entering the store or range, (excluding concealed carry firearms and law enforcement in uniform).
+ Always keep firearms pointed downrange. Treat all firearms as if they are loaded.
+ Keep your firearm unloaded until you are ready to shoot.
+ Keep your finger off the trigger until you are ready to shoot.
+ Open carry is prohibited. (See the first rule for the only exception).
+ Anyone displaying unsafe actions will be warned to correct their behavior and/or be asked to leave.

AMMUNITION/ FIREARM REQUIREMENTS

+ All firearms must have front and rear sights.
+ All ammo is subject to inspection. Tracer, armor piercing, steel core, incendiary gas, explosives & buckshot is PROHIBITED FOR USE on range.
+ Outside rifle ammunition is prohibited beginning 9/24/16. Rifle ammo must be purchased at Colonial Shooting Academy.
+ All centerfire ammunition must be jacketed.
+ Shotguns without a shoulder stock are not allowed. Only slugs are permitted for use in shotguns.
+ No rifles over .30 caliber are allowed.

RANGE RESTRICTIONS

+ All persons must successfully complete the Range Safety & Etiquette briefing, present a valid government picture ID, a complete Range Use Agreement/Waiver prior to using the firing ranges.
+ Minors (under the age of 18) must be accompanied at all times while in the facility, by a parent or guardian.
+ Children must be at least 10 years old to shoot a firearm.
+ Pregnant women and service animals are not allowed on the shooting ranges.
+ Non-immigrant visa aliens must possess a valid hunting license in order to rent and use a firearm on range.
+ Never use drugs or alcohol before shooting. We reserve the right to refuse sale or to remove you from the range.
+ Outside instruction is strictly prohibited.

ON RANGE RULES

+ Approved safety glasses & ear protection are mandatory before entering the range. Minors must use both ear muffs & plugs.
+ A Range Safety Officer (RSO) must be present at all times on range.
+ If a cease-fire is called, take your finger off the trigger, keep the gun pointed downrange & wait for further direction from the Range Safety Officer (RSO).
+ Only one firearm on the bench at a time. Do not pass any firearms from one lane to another.
+ No drawing from the holster on Range 1, 2 or 3.
+ Never move forward of the firing line or shooting booths.
+ Do not shoot the walls or target carriers. Do not cross-fire at targets on other lanes. You will be held liable for damage. If you cannot control your fire, you may be asked to leave.
+ All centerfire rifles and rifle caliber pistols (velocity) must be shot at maximum distance.
+ All rifles and full autos must be single shot or burst fire only, no mag dumps.
+ If a malfunction occurs and you are unable to clear the problem, leave the gun on the shooting bench facing downrange, ask an RSO for help.
+ Please inform the RSO if you intend to collect your own spent brass. The brass must be behind the firing line. All brass collected by the RSO is property of Colonial Shooting Academy.
+ Smoking, vaping, eating & drinking are prohibited on the range at all times.
+ AK/AR pistols must be fired with both hands, no hip fire.

I HAVE READ COLONIAL SHOOTING ACADEMY'S RULES OF THE RANGE AND UNDERSTAND ITS CONTENTS. I WILL ABIDE THE RANGE RULES TO THE BEST OF MY ABILITY AND I DO UNDERSTAND THAT IGNORING THE RULES OF THE RANGE OR ARGUING THE VALIDITY MAY RESULT IN TERMINATION OF MY MEMBERSHIP AND RANGE USE IN THE FUTURE.

                     July 24, 2024

 

COLONIAL SHOOTING ACADEMY “CSA” MEMBERSHIP TERMS & CONDITIONS


1. MEMBER FITNESS. By signing this agreement, Member represents warrants & ensures that (s)he has had an opportunity to observe the programs offered by CSA and that (s)he is both physically, mentally & legally able to participate in the services offered by CSA. Member understands that (s)he may not transfer or assign this membership, either temporarily or permanently.


2.UNAVAILABILITY. If CSA’s facilities are unavailable for use for a period in excess of 30 consecutive days, the Member’s program will be extended for a period of time equal to the time of unavailability, but no refund or credit will be due to the Member. Upon notice to CSA, the Member may cancel the agreement if CSA’s facility is unavailable for more than 90 consecutive days. Within 30 days of receipt of such notice, CSA shall refund to the member the unused pro-rata portion of the contract price, excluding any initiation fee, paid by the Member. Notwithstanding, the foregoing, CSA may close its facility on holidays, for a period not exceeding 3 weeks per year for necessary maintenance and other purposes without affecting scheduled Member payments.


3. LIABILITY WAIVER AND RELEASE. The Member understands and agrees that strict observation of CSA’s rules & regulations and the rules and regulations relative to the service or instruction provided, including the use of the protective equipment, is required. The Member understands and agrees that the use of CSA’s facilities and the Member’s presence at CSA’s facilities are at the sole risk of the Member. The Member understands and agrees that the use of CSA’s facilities and the Member’s presence at CSA’s facility are at the sole risk of the Member. The Member understands and agrees that the instruction provided may involve skills and training which include violent and sudden movements and that in connection with the training and instruction, there may be physical contact instructors and Members and between and among the Members and that such contact may result in personal injury to the Member, despite precautions taken to avoid such injuries. Member hereby consents to engage in such contact as may be necessary or required by Members’ participation. Member, on behalf of him/herself and anyone claiming by or through the Member, hereby holds harmless, release and forever discharges CSA and its instructors, agents, employees, operators and authorized representatives from any liability, claim, loss, including loss of property, damage, personal injury, or expense incurred by the Member and arising from the Members execution of this Agreement, payment processing, participation in any program offered by CSA, including, but not limited to,, any injury or damage cause by the negligence or willful misconduct of CSA, its instructors, Members, agents, employees, operators, or authorized representatives. The Member specifically understands and agrees that (s)he is assuming risk of any and all injuries that (s)he may suffer or incur as a result of his/her execution of this agreement and participation in any program offered by CSA.


4. SIGNATURES. Any person(s) signing this Agreement, whether as a Member, co-signer or otherwise shall be jointly, severally and individually liable to CSA for the full contract price as if such person signed as the Member. All persons signing this Agreement assume responsibility for all costs of collection, including but not limited to collection agency fees, court costs, attorney’s fees, and late charges that may be incurred in the event of a default by the Member. Any person(s) signing this Agreement authorizes the use of disclosed e-mail address for billing and marketing purposes and acknowledges that e-mail text may include financial information pertaining to the membership. Any person signing this agreement authorizes the use of a disclosed cell phone or telephone number for autodialed or pre-recorded voice calls and text messages for billing related issues including, but not limited to, expiring billing information, or overdue account balances.


5. COMPLIANCE WITH LAWS. This Agreement shall be governed by the laws of Virginia. All rights and obligations of CSA and Member under this Agreement are subject to all applicable federal, state and local laws and regulations. To the extent that the terms and conditions of this Agreement conflict with any applicable statute, rule or regulation in effect at the time of execution of this Agreement governing transactions of the type contained herein, the Agreement shall be deemed revised to conform with such statutes, rules and regulations. CSA and Member shall be bound by the modified Agreement and agree that no other modifications shall be enforceable unless in writing and signed by the parties. This Agreement constitutes the entire Agreement between the parties and supersedes all prior agreements between the parties, whether written or oral. The invalidity or unenforceability of any provision hereof shall not affect the validity or enforceability of any other provision. The waiver of any breach shall not constitute a waiver of any subsequent breach of this Agreement.


6. ACCEPTANCE OF MEMBER. By signing this Agreement, Member agrees to fully and completely comply with all terms and conditions hereof and CSA’s rules and regulations. Failure to comply with CSA’s rules and regulations is grounds for immediate suspension or termination of services to the Member. Suspension or termination shall not entitle the Member to a refund or credits for any amounts already paid or cancel any unpaid balances due. The failure or inability of Member to use the facilities, classes or services of CSA for any reason, except otherwise provided herein does not relieve or suspend the Members’ obligation to make all payments required under this Agreement on a timely basis, nor entitle the Member to a refund or credit. CSA and those acting under its authority reserve the right to use photographs, videotape, artwork or other likenesses of the Member for marketing, trade, publishing or any other lawful purpose. Member understands and agrees that full payment of tuition is not a guarantee or promise of advancement.


7. DEATH OR DISABILITY. If Member becomes disabled, the Member may extend the term of the Agreement, at no additional cost, by written notice to CSA, for a period of time equal to the duration of the Member’s short-term disability, verified by a physician, which precludes the Member form using any of CSA’s facilities for a period of less than (6) six consecutive months. The Member or his/her legal representative may cancel the Agreement if the Member dies or becomes permanently disabled. Permanent disability is a disability, verified by a physician, which precludes the Member from using any of CSA’s facilities for a period in excess of (6) consecutive months.


8. RELOCATION. Satisfactory proof of relocation must be presented to CSA upon notice, Member may cancel the Agreement if Member or CSA moves more than 25 miles away from CSA’s business location, but this does not apply if your residence does not change.


9. CANCELLATION. This Agreement may be cancelled by Member for any reason without penalty or further obligation at any time prior to midnight on the third business day after you sign the Agreement. (The “Right to Cancel”). Notice of cancellation, in writing, stating that you do not wish to be bound by this Agreement must be delivered or mailed to CSA by certified mail, return receipt requested within the time period provided above. All money paid shall be refunded by CSA within 30 days of the exercise of the Right to Cancel, except that CSA may retain expenses actually incurred and the portion of the total price representing the services used and the completed based on an hourly rate of $35/hour. Payments made at the time of enrollment or execution of this Agreement are non-refundable after 3 days. The Member understands that after the Right to Cancel expires, except as specifically provided herein, this Agreement may not be cancelled, and all payments through the end of the Agreement pursuant to any right contained herein, other than the Right to Cancel set forth above, the Member shall submit to CSA, a completed Cancellation Form, which can be obtained from CSA, by certified mail return receipt requested, or by personal delivery to the address specified in the Agreement for CSA. Failure to utilize the services or instruction provided by CSA does not constitute or imply notification to or cancellation of this Agreement. Membership is cancelled when all payments due within the specified notification period have been received. 90 days cancellation notice is implied. Member retains membership rights and privileges until the notice period expires. This Agreement requires a minimum of one contract year and after that one year obligation is met, the customer may submit the cancellation request. At the time CSA receives the 90 day cancellation notice, this 90 day period will begin. The customer will be charged an additional 3 months payments, after this 90 day cancellation period, the Agreement is cancelled.


10. DEFAULT. Non-payment of scheduled monthly payments in excess of 60 days shall constitute default under this Agreement. If this Agreement is in default, the entire amount owed hereunder shall become immediately due and payable, litigation may be initialized to collect all amounts due or the account referred to collection. In the event of default in payment or breach of this Agreement, CSA shall be entitled to recover their reasonable attorney’s fees, court costs, and, if applicable, interest on any past due amount at the rate of 1.5% per month and a collection fee equal to 20% as a collection fee and not a penalty, to collect any past due amounts or cure any breach.

I UNDERSTAND THAT THE CONTRACT MINIMUM TERM IS ONE YEAR FOR ALL MEMBERSHIPS, AND IN THE CASE OF MONTHLY BILLED ACCOUNTS 90 DAYS NOTICE IS ALSO REQUIRED FOR CANCELLATION

                    July 24, 2024

First Member's Name

First Name*

Last Name*

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

ID Type: *

Number: *
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
IS THERE ANY LEGAL REASON THAT PROHIBITS YOU FROM POSSESSING A FIREARM?*
HOW WOULD YOU RATE YOUR LIVE FIREARMS EXPERIENCE?*
HOW DID YOU HEAR ABOUT US?*

Other:

BY COMPLETING THIS FORM YOU AGREE TO GIVE COLONIAL SHOOTING ACADEMY PERMISSION TO CONTACT YOU USING THE EMAIL ADDRESS PROVIDED. YOU MUST BE AT LEAST 18 YEARS OF AGE TO COMPLETE THIS FORM. YOUR PHONE, ADDRESS AND EMAIL ADDRESS WILL BE KEPT CONFIDENTIAL AND NOT PROVIDED TO 3RD PARTIES. 

First Member's Signature*
Second Member's Name

First Name*

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

ID Type: *

Number: *
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
IS THERE ANY LEGAL REASON THAT PROHIBITS YOU FROM POSSESSING A FIREARM?*
HOW WOULD YOU RATE YOUR LIVE FIREARMS EXPERIENCE?*
HOW DID YOU HEAR ABOUT US?*

Other:

BY COMPLETING THIS FORM YOU AGREE TO GIVE COLONIAL SHOOTING ACADEMY PERMISSION TO CONTACT YOU USING THE EMAIL ADDRESS PROVIDED. YOU MUST BE AT LEAST 18 YEARS OF AGE TO COMPLETE THIS FORM. YOUR PHONE, ADDRESS AND EMAIL ADDRESS WILL BE KEPT CONFIDENTIAL AND NOT PROVIDED TO 3RD PARTIES. 

Third Member's Name

First Name*

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

ID Type: *

Number: *
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
IS THERE ANY LEGAL REASON THAT PROHIBITS YOU FROM POSSESSING A FIREARM?*
HOW WOULD YOU RATE YOUR LIVE FIREARMS EXPERIENCE?*
HOW DID YOU HEAR ABOUT US?*

Other:

BY COMPLETING THIS FORM YOU AGREE TO GIVE COLONIAL SHOOTING ACADEMY PERMISSION TO CONTACT YOU USING THE EMAIL ADDRESS PROVIDED. YOU MUST BE AT LEAST 18 YEARS OF AGE TO COMPLETE THIS FORM. YOUR PHONE, ADDRESS AND EMAIL ADDRESS WILL BE KEPT CONFIDENTIAL AND NOT PROVIDED TO 3RD PARTIES. 

Fourth Member's Name

First Name*

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

ID Type: *

Number: *
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
IS THERE ANY LEGAL REASON THAT PROHIBITS YOU FROM POSSESSING A FIREARM?*
HOW WOULD YOU RATE YOUR LIVE FIREARMS EXPERIENCE?*
HOW DID YOU HEAR ABOUT US?*

Other:

BY COMPLETING THIS FORM YOU AGREE TO GIVE COLONIAL SHOOTING ACADEMY PERMISSION TO CONTACT YOU USING THE EMAIL ADDRESS PROVIDED. YOU MUST BE AT LEAST 18 YEARS OF AGE TO COMPLETE THIS FORM. YOUR PHONE, ADDRESS AND EMAIL ADDRESS WILL BE KEPT CONFIDENTIAL AND NOT PROVIDED TO 3RD PARTIES. 

Fifth Member's Name

First Name*

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

ID Type: *

Number: *
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
IS THERE ANY LEGAL REASON THAT PROHIBITS YOU FROM POSSESSING A FIREARM?*
HOW WOULD YOU RATE YOUR LIVE FIREARMS EXPERIENCE?*
HOW DID YOU HEAR ABOUT US?*

Other:

BY COMPLETING THIS FORM YOU AGREE TO GIVE COLONIAL SHOOTING ACADEMY PERMISSION TO CONTACT YOU USING THE EMAIL ADDRESS PROVIDED. YOU MUST BE AT LEAST 18 YEARS OF AGE TO COMPLETE THIS FORM. YOUR PHONE, ADDRESS AND EMAIL ADDRESS WILL BE KEPT CONFIDENTIAL AND NOT PROVIDED TO 3RD PARTIES. 

Sixth Member's Name

First Name*

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

ID Type: *

Number: *
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
IS THERE ANY LEGAL REASON THAT PROHIBITS YOU FROM POSSESSING A FIREARM?*
HOW WOULD YOU RATE YOUR LIVE FIREARMS EXPERIENCE?*
HOW DID YOU HEAR ABOUT US?*

Other:

BY COMPLETING THIS FORM YOU AGREE TO GIVE COLONIAL SHOOTING ACADEMY PERMISSION TO CONTACT YOU USING THE EMAIL ADDRESS PROVIDED. YOU MUST BE AT LEAST 18 YEARS OF AGE TO COMPLETE THIS FORM. YOUR PHONE, ADDRESS AND EMAIL ADDRESS WILL BE KEPT CONFIDENTIAL AND NOT PROVIDED TO 3RD PARTIES. 

Seventh Member's Name

First Name*

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

ID Type: *

Number: *
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
IS THERE ANY LEGAL REASON THAT PROHIBITS YOU FROM POSSESSING A FIREARM?*
HOW WOULD YOU RATE YOUR LIVE FIREARMS EXPERIENCE?*
HOW DID YOU HEAR ABOUT US?*

Other:

BY COMPLETING THIS FORM YOU AGREE TO GIVE COLONIAL SHOOTING ACADEMY PERMISSION TO CONTACT YOU USING THE EMAIL ADDRESS PROVIDED. YOU MUST BE AT LEAST 18 YEARS OF AGE TO COMPLETE THIS FORM. YOUR PHONE, ADDRESS AND EMAIL ADDRESS WILL BE KEPT CONFIDENTIAL AND NOT PROVIDED TO 3RD PARTIES. 

Eighth Member's Name

First Name*

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

ID Type: *

Number: *
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
IS THERE ANY LEGAL REASON THAT PROHIBITS YOU FROM POSSESSING A FIREARM?*
HOW WOULD YOU RATE YOUR LIVE FIREARMS EXPERIENCE?*
HOW DID YOU HEAR ABOUT US?*

Other:

BY COMPLETING THIS FORM YOU AGREE TO GIVE COLONIAL SHOOTING ACADEMY PERMISSION TO CONTACT YOU USING THE EMAIL ADDRESS PROVIDED. YOU MUST BE AT LEAST 18 YEARS OF AGE TO COMPLETE THIS FORM. YOUR PHONE, ADDRESS AND EMAIL ADDRESS WILL BE KEPT CONFIDENTIAL AND NOT PROVIDED TO 3RD PARTIES. 

Ninth Member's Name

First Name*

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

ID Type: *

Number: *
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
IS THERE ANY LEGAL REASON THAT PROHIBITS YOU FROM POSSESSING A FIREARM?*
HOW WOULD YOU RATE YOUR LIVE FIREARMS EXPERIENCE?*
HOW DID YOU HEAR ABOUT US?*

Other:

BY COMPLETING THIS FORM YOU AGREE TO GIVE COLONIAL SHOOTING ACADEMY PERMISSION TO CONTACT YOU USING THE EMAIL ADDRESS PROVIDED. YOU MUST BE AT LEAST 18 YEARS OF AGE TO COMPLETE THIS FORM. YOUR PHONE, ADDRESS AND EMAIL ADDRESS WILL BE KEPT CONFIDENTIAL AND NOT PROVIDED TO 3RD PARTIES. 

Tenth Member's Name

First Name*

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

ID Type: *

Number: *
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
IS THERE ANY LEGAL REASON THAT PROHIBITS YOU FROM POSSESSING A FIREARM?*
HOW WOULD YOU RATE YOUR LIVE FIREARMS EXPERIENCE?*
HOW DID YOU HEAR ABOUT US?*

Other:

BY COMPLETING THIS FORM YOU AGREE TO GIVE COLONIAL SHOOTING ACADEMY PERMISSION TO CONTACT YOU USING THE EMAIL ADDRESS PROVIDED. YOU MUST BE AT LEAST 18 YEARS OF AGE TO COMPLETE THIS FORM. YOUR PHONE, ADDRESS AND EMAIL ADDRESS WILL BE KEPT CONFIDENTIAL AND NOT PROVIDED TO 3RD PARTIES. 

Member'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
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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.
Parent or Guardian's Name

First Name*

Last Name*

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

ID Type: *

Number: *
HAVE YOU EVER BEEN CONVICTED OF A FELONY?*
IS THERE ANY LEGAL REASON THAT PROHIBITS YOU FROM POSSESSING A FIREARM?*
HOW WOULD YOU RATE YOUR LIVE FIREARMS EXPERIENCE?*
HOW DID YOU HEAR ABOUT US?*

Other:

BY COMPLETING THIS FORM YOU AGREE TO GIVE COLONIAL SHOOTING ACADEMY PERMISSION TO CONTACT YOU USING THE EMAIL ADDRESS PROVIDED. YOU MUST BE AT LEAST 18 YEARS OF AGE TO COMPLETE THIS FORM. YOUR PHONE, ADDRESS AND EMAIL ADDRESS WILL BE KEPT CONFIDENTIAL AND NOT PROVIDED TO 3RD PARTIES. 

Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to a criminal history search by the state of Virginia. You also consent 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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