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Release, Assumption of Risk, and Indemnity Agreement
(Minors Addendum)

This Release, Assumption of Risk, and Indemnity Agreement (Minors Addendum) (“Addendum”) and the related Release, Assumption of Risk, and Indemnity Agreement (“Agreement”) MUST be completed by any person allowing or facilitating a minor having access to the RANGE as the term RANGE is defined in the Agreement.

I acknowledge that I am the parent to the minor or minors listed the attached Attachment 1, or any other Minors accompanying me on the RANGE (individually, or collectively, “Minors”).

On behalf of the Minors listed below, I agree to accept full and exclusive liability and responsibility for, and exercise the exclusive control over and supervision of, such Minors while on the RANGE. I understand that the RANGE does not allow Minors on the RANGE without such control and supervision by me. I also represent that I am authorized to provide or authorize medical treatment for the Minors.

I personally accept on behalf each of the Minors, all acknowledgments, conditions, prohibitions, agreements, releases, waivers, understandings, undertakings, obligations, indemnities, representations, defense obligations, and assumptions of risk set forth in the Agreement for the benefit of the RANGE, to the fullest extent allowed by law. This Addendum shall be in addition to my undertakings in the Agreement, and both the Addendum and the Agreement shall be interpreted to the fullest extent possible to allocate any responsibility or liability relating to or arising from the Minors to me.

I acknowledge that I have signed and agreed to the Agreement referenced in the first paragraph hereof.

I have carefully read this “Release, Assumption of Risk, and Indemnity Agreement (Minors Addendum)”, fully know its contents, and understand that I am giving up rights by both myself and the Minors to make claims against the RANGE related to our use of the RANGE, as a result of signing this. I acknowledge that no other inducement, assurance, or guarantee has been made to me in consideration of my signing this Agreement, which I sign voluntarily and of my own free will. I further acknowledge and agree that this Agreement may be amended or modified only by a writing signed by me and by an authorized agent of the RANGE.

Today's Date: April 22, 2021

ACCEPTED: Hobbs Island Shooting Range LLC, d/b/a Hobbs Island Shooting Range

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
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.
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
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*
I certify that I am 18 years of age or older
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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