On Target Indoor Range requires the Parental Consent. Any adult bringing a minor to the range must have the express written permission of the parent or other legal. This consent form is mandatory for every minor at the range not accompanied by their parent or legal guardian.

CALIFORNIA PENAL CODE SECTION 12552:

S 12552: Furnishing Firearms to Minors under 18 without permission of parent. — Every person who furnishes any firearm, air gun, or gas-operated gun, designed to fire a bullet, pellet, or metal projectile, to any minor under the age of 18 years, without the express or implied permission of the parent or legal guardian of the minor, is guilty of a misdemeanor. All employees are NRA Certified Range Safety Officers (RSO’s) to ensure your safety while at the range. We have a Chief Range Safety Officer on staff to help in our continued education in Range Operations. Nearly all of the RSO’s have additional NRA Instructor Certifications in: Pistol, Rifle, Shotgun, Personal Protection Inside the Home, Personal Protection Outside the Home, and several are registered Boy Scout Rifle Merit Badge Counselors in the Orange County Council.

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PARENTAL AUTHORIZATION FOR MINOR CHILD TO
SHOOT AT RANGE WITH THIRD PARTY


Review On-Target Indoor Shooting Range Privacy Policy

On Target Indoor Range requires the Parental Consent. Any adult bringing a minor to the range must have the express written permission of the parent or other legal. This consent form is mandatory for every minor at the range not accompanied by their parent or legal guardian.

CALIFORNIA PENAL CODE SECTION 12552:

S 12552: Furnishing Firearms to Minors under 18 without permission of parent. — Every person who furnishes any firearm, air gun, or gas-operated gun, designed to fire a bullet, pellet, or metal projectile, to any minor under the age of 18 years, without the express or implied permission of the parent or legal guardian of the minor, is guilty of a misdemeanor. All employees are NRA Certified Range Safety Officers (RSO’s) to ensure your safety while at the range. We have a Chief Range Safety Officer on staff to help in our continued education in Range Operations. Nearly all of the RSO’s have additional NRA Instructor Certifications in: Pistol, Rifle, Shotgun, Personal Protection Inside the Home, Personal Protection Outside the Home, and several are registered Boy Scout Rifle Merit Badge Counselors in the Orange County Council.

 

First Participant's Name

First Name*

Middle Name

Last Name*

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

Authorized Person


Authorized Persons name *

Authorized Persons ID: CA Drivers License, Passport, other state Drivers License *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*

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

Authorized Person


Authorized Persons name *

Authorized Persons ID: CA Drivers License, Passport, other state Drivers License *
Third Participant's Name

First Name*

Middle Name

Last Name*

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

Authorized Person


Authorized Persons name *

Authorized Persons ID: CA Drivers License, Passport, other state Drivers License *
Fourth Participant's Name

First Name*

Middle Name

Last Name*

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

Authorized Person


Authorized Persons name *

Authorized Persons ID: CA Drivers License, Passport, other state Drivers License *
Fifth Participant's Name

First Name*

Middle Name

Last Name*

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

Authorized Person


Authorized Persons name *

Authorized Persons ID: CA Drivers License, Passport, other state Drivers License *
Sixth Participant's Name

First Name*

Middle Name

Last Name*

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

Authorized Person


Authorized Persons name *

Authorized Persons ID: CA Drivers License, Passport, other state Drivers License *
Seventh Participant's Name

First Name*

Middle Name

Last Name*

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

Authorized Person


Authorized Persons name *

Authorized Persons ID: CA Drivers License, Passport, other state Drivers License *
Eighth Participant's Name

First Name*

Middle Name

Last Name*

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

Authorized Person


Authorized Persons name *

Authorized Persons ID: CA Drivers License, Passport, other state Drivers License *
Ninth Participant's Name

First Name*

Middle Name

Last Name*

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

Authorized Person


Authorized Persons name *

Authorized Persons ID: CA Drivers License, Passport, other state Drivers License *
Tenth Participant's Name

First Name*

Middle Name

Last Name*

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

Authorized Person


Authorized Persons name *

Authorized Persons ID: CA Drivers License, Passport, other state Drivers License *
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 or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
I am the natural, adoptive parent, or legal guardian (and NOT the Step-parent) of the minor child (under 18 years of age), whose date of birth is listed above. I hereby authorize the following listed party or parties, whom I personally know to be 21 years of age or older, to bring the above-referenced child into On- Target Indoor Shooting Range, LLC, to shoot various firearms. The adult party has been instructed that he / she must be with the minor child at all times while the minor child is in the shooting areas of the range. I understand and acknowledge that this Authorization form shall be on file with On-Target Indoor Shooting Range, LLC, and shall be effective as long as the minor child is a minor (under 18 years of age). or until my written request to terminate this Authorization. Only the following person(s) is authorized to bring my child shooting.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

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

Authorized Person


Authorized Persons name *

Authorized Persons ID: CA Drivers License, Passport, other state Drivers License *
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. I hereby authorize the following listed party or parties, whom I personally know to be 21 years of age or older, to bring the above-referenced child into On- Target Indoor Shooting Range, LLC, to shoot various firearms. The adult party has been instructed that helshe must be with the minor child at all times while the minor child is in the shooting areas of the range. I understand and acknowledge that this Authorization form shall be on file with On-Target Indoor Shooting Range, LLC, and shall be effective as long as the minor child is a minor (under 18 years of age). or until my written request to terminate this Authorization. Only the following person(s) is authorized to bring my child shooting.


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