Loading...

This waiver is the Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement.

It must be signed to be able to go into the Range. 

May 27, 2022

In lawful consideration of being permitted to voluntarily enter Heartland Gun Club & Range and all associated property of Heartland Gun Club & Range and use its facilities and/or equipment located at 5105 Commercial Drive Southwest, Rochester, MN 55902, for the purposes of shooting, target practice, training, observation, work, or recreation in any way or for any purpose; myself, and my guests, relatives or personal representatives hereby abide by, and agree to the following:

I UNDERSTAND AND ACKNOWLEDGE THAT SHOOTING RELATED ACTIVITIES ARE INHERENTLY HAZARDOUS AND POTENTIALLY LIFE-THREATENING. These activities involve known, unknown, and unanticipated risks that could result in damage or destruction of my property, physical or emotional injury, but are not limited to being shot or shooting myself or others; total or partial loss of hearing and eyesight; burns; inhalation or other harmful contact with lead or other contaminants; and being struck by flying or falling objects. I am fully aware of the risks and hazards inherent in participating in any activities or events held at the RANGE. 

I HEREBY ELECT TO VOLUNTARILY ENTER THE RANGE and engage in any/all activities therein, acknowledging the nature and present conditions and dangers of the RANGE facilities, equipment, and premises and further, I acknowledge that conditions and dangers may become more hazardous during the times in which I am on/in the RANGE or walking to and from thereof. 

I HEREBY ASSUME ALL RISKS OF LOSS, DAMAGE, INJURY OR DEATH that may be sustained while in or on the RANGE, including walking to or from vehicles, or on the premises in general, and I understand that such hazards and risks cannot be eliminated without compromising the essential qualities of the RANGE, it is facilities, equipment, premises, or environment.

I ACKNOWLEDGE THAT HEARTLAND GUN CLUB & RANGE MAKES NO WARRANTY as to the design, manufacture, maintenance, condition, or fitness for any particular use or purpose of ANY RANGE facilities or equipment, including but not limited to range equipment, firearms, ammunition, vision and hearing protection, or first-aid supplies. 


I AGREE TO ABIDE BY ALL THE RULES AND REGULATIONS, fire and safety requirement, and the directions of all employees, agents, officers of Heartland Gun Club & Range and any/all emergency personnel. I acknowledge that I may be removed from the RANGE for failure to follow these Rules, Regulations, requirements, or directives. 

I EXPRESSLY AGREE TO HOLD HARMLESS HEARTLAND GUN CLUB & RANGE, its owners, officers, management, employees, and representatives and to undertake to defend and to INDEMNITY Heartland Gun Club & Range from ANY and ALL LIABILITIES, LOSS or DAMAGE OF PROPERTY, CLAIM OF INJURY, demands, expenses, counsel fees and costs of whatsoever nature or kind BY ME OR MY RELATIVES, HEIRS, GUESTS, OR AGENTS, arising from the USE OF, EVENTS, or ACTIVITIES on/in the RANGE; however caused, but not limited to the negligence of the staff, failure to act, negligent rescue or first aid operations, or otherwise. This Agreement shall extend to, and bind my next of kin, heirs, guardians, relatives, representatives, and assigns. 


THIS AGREEMENT IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY LAW. Both parties agree that if any paragraph or provision violates the law, is held to be invalid, void, or unenforceable, the rest of this Agreement, Range Rules and Regulations and Consent Form (when applicable) will remain valid and interpreted and applied to give maximum effect to the intent reflected herein.

I understand and agree that Heartland Gun Club & Range shall not be liable for any negligence whatsoever, including the negligence of its employees, and I hereby, on behalf of myself, my family, invitees, licensees, employees, and permittees; release, discharge and acquit Heartland Gun Club & Range for any and all claims for loss, damage or injury of any nature whatsoever to person or property resulting in any way from, or in any fashion arising from, connected with or resulting from occupancy of or use of the RANGE and property, whether caused by the negligent acts of Heartland Gun Club & Range, its agents or servants or otherwise, and I hereby further assume full responsibility for, and risk of bodily injury or death, while in or upon the RANGE. I further waive for myself and my insurers, any and all rights of subrogation that I may have against Heartland Gun Club & Range. 

I have read this Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement and I FULLY UNDERSTAND AND ACKNOWLEDGE the terms contained within. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS AGREEMENT, and I have signed it freely and voluntarily without any inducement, assurance, or guarantee being made to me in consideration of my signing this Agreement which I sign of my own free will. I further intend my to be a complete and unconditional release of all liability for Heartland Gun Club & Range and it’s owners, officers, management, employees and representatives, to the greatest extent allowed by law. 


I Agree


 

 

GENERAL RANGE RULES

Eyewear and ear pro MUST BE WORN AT ALL TIMES WHILE INSIDE THE RANGE

Remember your 5 gun safety rules while handling your firearm at all times

  • Treat Every Gun As If It Were Loaded
  • Always Point Your Gun in A Safe Direction
  • Never Point Your Gun at Anything You Don’t Intend To Shoot
  • Keep Your Finger Off the Trigger Until You’re Ready To Shoot
  • Be Sure of Your Target And What’s Beyond

There are no pregnant women allowed in the range due to lead exposure

  • No children until 10 will be permitted in the range. All minors under the age of 17 MUST be accompanied by a parent or guardian AT ALL TIMES. 
  • No more than 3 persons to one lane 
  • No smoking, vaping, or tobacco use in the range
  • No food or drinks in the range due to lead exposure
  • Consumption of alcohol or drugs prior to, or while at the range is STRICTLY PROHIBITED
  • You will not be allowed in the range if you smell like marijuana or alcohol
  • Appropriate clothing and closed-toed shoes must always worn to minimize hot brass against the skin

I Agree

 

FIREARMS & AMMUNITION 


• Uncase firearms in the shooting lane, do not have any uncased firearms outside of the shooting lanes 
• Guns will be kept unloaded with the chamber open pointing down range while not in use
• No drawing from a holster; no holster drills
• No kneeling or prone shooting allowed
• Do not pass firearms between shooters 
• All firearms must have sights on the gun to be able to shoot them in the range 
• Persons can only shoot one firearm at a time 
• Do not change firing lanes without authorization from Range Officer or Staff
• Do not shoot at other lanes targets
• Only paper and cardboard targets are allowed, targets cannot have a photo of someone’s face
• If your firearm malfunctions and you cannot clear it, place the firearm pointed downrange and ask a Range Staff or Range Safety Officer for assistance

I Agree

 

Anything under 3,300 FPS is permitted 

No steel or aluminum cased ammunition

No multi shot ammunition (buck shot, bird shot, etc.)

No tracers or incendiary rounds

No black powder or BBs

IN ALL CASES THE RSO'S DECISIONS ARE FINAL AND BINDING. HIS/HER DECISIONS ARE BASED ON THE CURRENT SITUATION AS IT EXISTS, AND HIS/HER JUDGEMENT DICTATES. THE RSO'S DECISIONS MAY SUPERSEDE THE GENERAL PRINTED RULES OR SOP.

May 27, 2022

I Agree

Prohibited Persons 

Are you under indictment or information in any court for a felony, or any other crime, for which the judge could imprison you for more than one year?

Have you ever been convicted in any court of a felony, or any other crime, for which the judge could have imprisoned you for more than one year, even if you received a shorter sentence including probation? 

Are you a fugitive from justice? 

Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance? 

Have you ever been adjudicated mentally defective (which includes a determination by a court, board, commission, or other lawful authority that you are a danger to yourself or to others or are incompetent to manage your own affairs) OR have you ever been committed to a mental institution?

Have you been discharged from the Armed Forces under dishonorable conditions? 

Are you subject to a court order restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner?

 Have you ever been convicted in any court of a misdemeanor crime of domestic violence? 

Are you an alien illegally in the United States? 

I understand that by answering yes to any of the questions above I am unable to shoot in Heartland Gun Club & Range's facility or use their firearm rentals. 

 

I Agree

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*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!