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Vance Outdoors Shooting Range
Release of Liabilities

     I acknowledge that my presence on, about, around or within the Vance Outdoors Shooting Range facility located at 4250 Alum Creek Drive, Obetz, Ohio 43207 (hereafter referred to as Vance Outdoors) and any observation, participation in any of the activities occurring within or on the associated property of Vance Outdoors is done so freely, voluntarily and of my own free will, volition and desire.

     I also certify that I was born on the date listed below, and I that I am over the age of 18 (eighteen) and that I possess the legal capacity to and wish to enter into this agreement on my own behalf. I understand that Vance Outdoor is a for profit corporation and as such I am indemnifying and saving it harmless as well as all of the officers, directors, managers, employees, agents, assigns and any other affiliated organizations. (if under 18, parent or guardian must sign)

     I agree and acknowledge that firearms are inherently dangerous and their use can cause bodily injury or death. I, my agents, assigns, executors or administrators, for the considerations of being allowed to enter the facilities, shooting range, or the use of rental firearms and other associated products or services of Vance Outdoors do now hereby absolutely and unequivocally hold harmless Vance Outdoors, it’s agents, members, trustees, officers, employees, instructors, assigns, owners and successors from any claim, demand, injury or liability, whether claimed by myself or another, arising out of such use of the facilities, products or services of Vance Outdoors. I am fully aware of and understand that there are substantial risks to my person associated with the use of firearms, ammunition, shooting range activities and related products or services. I further understand that these risks include but are not limited to gunshot wounds caused by myself or another that may result in injury or death, injuries from ricochet, Inhalation of lead vapor or other poisons, hearing loss due to noise exposure, injury to my vision or skin due to flying debris, muzzle flashes and any other dangers not listed herein. I do hereby accept full responsibility for my own safety while on the premises of Vance outdoors. I further understand that I must abide by all range rules and regulations and that I am required to eye and hearing protection at all times I am within the range area whether I am a participant or an observer.

     I agree and acknowledge that manufacturers of firearms will provide an instruction and or operating manual with written warnings free of charge and that I will not operate or otherwise use a firearm on the Vance Outdoors facility until I have read and understood such materials.

     In the event the person named on this release is a minor under the age of eighteen (18), I hereby affirm that I am the parent or legal guardian of said minor who is under the age of eighteen (18), or that I have been granted permission by the parent or legal guardian, and further affirm that on behalf of said minor, I absolutely and unequivocally on his/her behalf, agree to the conditions of the release stated above.

     I have read, understand and agree to the terms stated in this release. I also affirm that I have viewed the range safety video in its entirety and agree to comply with all of the range rules and regulations and that I will be provided a copy of the shooting range rules and regulations upon my request.

     I also affirm and acknowledge that I am not prohibited under any Federal, State or Local Law and/or any Court Order from the purchase, acquisition or possession of firearms.

     This release covers all compensation of any and all injuries and damages I may sustain, known, unknown or knowable, and in full compensation of any and all personal injuries, physical pain and suffering, mental suffering, psychological injuries, emotional distress, loss of consortium, services or society, loss of wages now or in the future and for any development, whether foreseen or unforeseen.

Date: December 10, 2019

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

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Last Name*
Second Participant's Date of Birth*
Third Participant's Name

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Third Participant's Date of Birth*
Fourth Participant's Name

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Fourth Participant's Date of Birth*
Fifth Participant's Name

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Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

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Sixth Participant's Date of Birth*
Seventh Participant's Name

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Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

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Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

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Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
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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