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FOX VALLEY SHOOTING CLUB, LLC AND KMA RANGE PROPERTIES, LLC WAIVER RELEASE AND INDEMNIFICATION AGREEMENT

I hereby acknowledge that I have voluntarily applied to enter the premises, to engage in shooting my personal firearm or a rental firearm, or to participate in other activities of the Fox Valley Shooting Club, LLC d/b/a Fox Valley Shooting Range (hereinafter collectively referred to as "FVSC" and KMA Range Properties, LLC (hereinafter referred to as "KMA").

(Participant must read and initial each paragraph)

I. ASSUMPTION OF RISK. I hereby acknowledge and fully understand the inherent risks, dangers and hazards associated with the use of a firearms or shooting range, firearm instruction, the discharge of firearms, and the use of live ammunition, including, but not limited to, the risk of physical injury, disfigurement, disability, emotional injury, or death and risk of loss of use or damage to my personal property. I further acknowledge and understand that injury or loss may result from: airborne materials and objects; the use of equipment, materials or facilities; lead dust inhalation; noise; the acts or omissions of others; the unavailability of immediate and/or adequate emergency medical care; and, other unknown or unexpected risks. I hereby knowingly and voluntarily assume each of these risks, dangers and hazards, and all other risks, dangers and hazards, whether known or unknown, that could arise out of, or occur during, my presence on the FVSC and KMA premises.

2. RELEASE AND INDEMNIFICATION. I on behalf of myself, my heirs, executors, administrator, representatives, successors and assignees hereby forever release and discharge FVSC and KMA, its members, owners, employees, gunsmiths, range safety officers, officers, directors, club members, instructors, guests, volunteers, agents and affiliates from any and all claims, demands, damages, expenses, causes of action, attachments of property, attorney fees, court costs or liability of any kind whatsoever that I, my heirs, executor, administrator, representatives, successors and/or assignees may have for property damage, personal injury, death resulting from my entering the premises, using the facilities or equipment, engaging in shooting, observing others shoot and/or any other activities at the FVSC facilities even if such claims, demands, damages, expenses, attachments of property, attorney fees, court costs a liability result from any acts of FVSC and/or KMA, even any negligent act or omission to act, including negligent or omitted first aid or rescue operations.

I further agree to indemnify, defend and hold harmless FVSC and KMA from any and all claims, demands, damages, expenses, causes of action, expenses, attorneys fees, court costs or liability of any kind that any person or entity may have for property damage, personal injury or death resulting from my entering the premises, using the facilities or equipment, engaging in shooting, observing others shoot and/or any other activities at the FVSC facilities to the extent that such claims, demands, damages, expenses, causes of action, attachments of property, attorney fees, court costs or liability result whole or partially from any act or acts, even any negligent acts or omission to act, including any negligent or omitted first aid or rescue operations. ​

3. MEDICAL CERTIFICATION. I certify that I have no medical condition or physical conditions that could in any way compromise my safety or the safety of others during my use of the range or participation in any activities or events at the FVSC premises.

5. RULES AND REGULATIONS. I have read, understood and agree to abide by all of the Range Operation and Safety rules of FVSC. I further agree to abide by any verbal instruction and/or safety rules issued by any FVSC instructor, staff member or range safety officer. 

6. INTERPERTATION AND SEVERABILITY. I further acknowledge that this contract shall be interpreted and enforced under the laws of the State of Illinois and agree that if any provision contained herein is held to be invalid, void or otherwise unenforceable, the remaining provisions of the agreement shall continue and remain in full force and effect.  

7. I have fully and carefully read this Waiver and Release and the Range Operation and Safety rules and understand their contents and that I am signing this of my own free will without inducement or any other consideration. I AM AWARE THAT THIS IS A RELEASE FROM LIABILITY AND INDEMNIFICATION AGREEMENT AND THAT BY SIGNING THIS AGREEMENT I AM AGREEING NOT TO SUE FOX VALLEY SHOOTING CLUB, LLC D/B/A FOX VALLEY SHOOTING RANGE OR KMA RANGE PROPERTIES, LLC AND RELEASING AND HOLDING THEM HARMLESS OF ANY AND ALL LIABILITY. 

8. I hereby agree to be financially responsible for and to reimburse FVSC and KMA for any damage I or my guests may cause to the premises, range or equipment. I consent to being video recorded while on the premises and to be removed from the range and/or termination of my membership in FVSC for violation of the range operation and safety rules. 

FOX VALLEY SHOOTING CLUB, LLC
Membership Terms and Conditions

Fox Valley Shooting Club, LLC d/b/a Fox Valley Shooting Range ("FVSC") is a membership club. FVSC facilities are available for use by all FVSC members and groups, organizations and individuals approved by FVSC. Silver and Gold Fox Members receive discounts and other benefits determined by FVSC. Membership is subject to the Terms and Conditions stated herein and will be granted and may be revoked at the sole discretion of FVSC.

1. Member hereby agrees that membership dues shall be paid on an annual basis on the Member's anniversary date. Membership dues and benefits may be reviewed and adjusted by FVSC. In addition, Member agrees that FVSC is entitled to collect costs, including reasonable attorney ' s fees, incurred in collecting any monies due FVSC or to enforce these Terms and Conditions, the Waiver of Liability and Indemnity Agreement, Range Rules or any other membership provisions. Memberships are non-refundable and may not be transferred or sold.

2. All Members, guests and other FVSC facility users must follow all FVSC Terms and Conditions and Range Rules. In addition, they must read and agree to the terms of the FVSC Waiver of Liability and Indemnity Agreement.

3. Member shall be responsible for any accidents or injuries caused by their guest. Guests will not be allowed to enter the range unless individually approved by FVSC management. 

4. All Members and guests are subject to the general policies and rules of operation of the FVSC ranges, all of which are intended to promote a safe, professional, friendly and family­ oriented environment.

5. Any Member or guest may be suspended or expelled from the FVSC facilities for violation of the Range Rules or behavior deemed to be unsafe by any FVSC personnel. Decisions made by the management of FVSC regarding suspension or expulsion are final.

6. If a Member or guest causes any damage to FVSC or KMA Range, LLC property, whether accidental, negligent, willful or otherwise, the Member and/or guest will be removed from the facilities and suspended or terminated from Membership. The individual responsible for the damage may be civilly or criminally prosecuted. FVSC reserves the right to charge the Member for such damage and should court action be required the Member will also be liable to FVSC for costs and reasonable attorney's fees.

I have read, understand and agree to be bound by the foregoing Terms and Conditions of membership in consideration of being granted the privileges of Fox Valley Shooting Club, LLC membership.

Today's Date: September 30, 2020

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
4. LAWFUL POSSESSION. I hereby affirm that I can lawfully possess a firearm in the State of Illinois and that any and all identification cards and permits provided to FVSC are validly issue and true and correct.*

IL FOID / CCL #:

Exp Date

Training Certifications:
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
4. LAWFUL POSSESSION. I hereby affirm that I can lawfully possess a firearm in the State of Illinois and that any and all identification cards and permits provided to FVSC are validly issue and true and correct.*

IL FOID / CCL #:

Exp Date

Training Certifications:
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
4. LAWFUL POSSESSION. I hereby affirm that I can lawfully possess a firearm in the State of Illinois and that any and all identification cards and permits provided to FVSC are validly issue and true and correct.*

IL FOID / CCL #:

Exp Date

Training Certifications:
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
4. LAWFUL POSSESSION. I hereby affirm that I can lawfully possess a firearm in the State of Illinois and that any and all identification cards and permits provided to FVSC are validly issue and true and correct.*

IL FOID / CCL #:

Exp Date

Training Certifications:
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
4. LAWFUL POSSESSION. I hereby affirm that I can lawfully possess a firearm in the State of Illinois and that any and all identification cards and permits provided to FVSC are validly issue and true and correct.*

IL FOID / CCL #:

Exp Date

Training Certifications:
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
4. LAWFUL POSSESSION. I hereby affirm that I can lawfully possess a firearm in the State of Illinois and that any and all identification cards and permits provided to FVSC are validly issue and true and correct.*

IL FOID / CCL #:

Exp Date

Training Certifications:
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
4. LAWFUL POSSESSION. I hereby affirm that I can lawfully possess a firearm in the State of Illinois and that any and all identification cards and permits provided to FVSC are validly issue and true and correct.*

IL FOID / CCL #:

Exp Date

Training Certifications:
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
4. LAWFUL POSSESSION. I hereby affirm that I can lawfully possess a firearm in the State of Illinois and that any and all identification cards and permits provided to FVSC are validly issue and true and correct.*

IL FOID / CCL #:

Exp Date

Training Certifications:
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
4. LAWFUL POSSESSION. I hereby affirm that I can lawfully possess a firearm in the State of Illinois and that any and all identification cards and permits provided to FVSC are validly issue and true and correct.*

IL FOID / CCL #:

Exp Date

Training Certifications:
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
4. LAWFUL POSSESSION. I hereby affirm that I can lawfully possess a firearm in the State of Illinois and that any and all identification cards and permits provided to FVSC are validly issue and true and correct.*

IL FOID / CCL #:

Exp Date

Training Certifications:
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.
Emergency Contact

Emergency Contact's 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.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
4. LAWFUL POSSESSION. I hereby affirm that I can lawfully possess a firearm in the State of Illinois and that any and all identification cards and permits provided to FVSC are validly issue and true and correct.*

IL FOID / CCL #:

Exp Date

Training Certifications:
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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