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Annual Membership Range Agreement & Release of Liability Form

I HEREBY ACKNOWLEDGE that I have voluntarily applied to participate in shooting and/or other activities sponsored by the LA Clays Shooting Sports Park, LLC, located at 831 Rosemead Blvd, South El Monte, CA 91733. I acknowledge that these shooting and/or other activities sponsored by the LA Clays Shooting Sports Park, LLC are for the purpose of promoting shooting proficiency and fellowship among shooting clubs and groups including, but not limited to the NRA (National Rifle Association), NSSF, NSCA, NSSA, ATA, TAT, SASS, IPSC, IDPA, together with the general public by providing practice ranges at which they can congregate and practice the respective disciplines, thereby increasing acceptance and membership in organized shooting. ​I ACKNOWLEDGE THAT SHOOTING ACTIVITIES NOT ONLY INCLUDE SHOOTING TIME, BUT ANY ACTIVITY WHATSOEVER THAT I ENGAGE IN WHILE AT LA CLAYS SHOOTING SPORTS PARK, LLC. THIS INCLUDES RESTING OR TRAVELLING BETWEEN THE SHOTGUN RANGES, ARCHERY RANGES, SHADE COVERS/PICNIC/PARKING AREAS, RETAIL FACILITIES AND RESTAURANT.

AS LAWFUL CONSIDERATION for having been permitted by LA Clays Shooting Sports Park, LLC,, or associated individuals, to participate in shooting and/or other activities including use of any of the facilities, I HEREBY AGREE THAT I, my heirs, distributees, guardians, legal representatives, and assigns WILL NOT SUE, make claim against, attach property of or prosecute LA Clays Shooting Sports Park, LLC, and/or any sponsors, owners, partners, employees, or affiliated organizations for injury or damages resulting from negligence or other acts, whosoever caused, by any owner, partner, employee, agent, or contractor of LA Clays Shooting Sports Park, LLC, AS A RESULT OF MY PARTICIPATION IN SHOOTING ACTIVITIES OR ANY OTHER ACTIVITY WHILE on the premises. In addition, I HEREBY DISCHARGE LA Clays Shooting Sports Park, LLC and/or any sponsors, owners, partners, employees, or affiliated organizations from any and all claims or demands that I, my heirs, distributees, guardians, legal representatives, or assigns now have, or may have hereafter have FOR INJURY OR DAMAGE RESULTING FROM MY PARTICIPATION IN SHOOTING ACTIVITES OR ANY OTHER ACTIVITIES AT LA CLAYS SHOOTING SPORTS PARK, LLC.

I AM AWARE THAT ALL SHOOTING SPORTS AND RELATED ACTIVITIES ARE INHERENTLY DANGEROUS ACTIVITIES. NEVERTHELESS, WITH KNOWLEDGE OF THE POTENTIAL RISKS INVOLVED, I HEREBY ACKNOWLEDGE AND AGREE THAT BY SHOOTING AT THE LA Clays Shooting Sports Park, LLC, RANGES, I AM VOLUNTARILY ACCEPTING ANY AND ALL RISKS OF INJURY OR DEATH.  

 

I AGREE THAT I WILL WEAR EAR AND EYE PROTECTION AT ALL TIMES WHILE I AM PARTICIPATING IN ANY SHOOTING VENUE AT LA CLAYS SHOOTING SPORTS PARK, AND I WILL PERSONALLY ENSURE AND GUARANTEE THAT ANYONE WITH ME WILL ALSO WEAR EAR AND EYE PROTECTION, AND WILL HOLD LA CLAYS SHOOTING SPORTS PARK, LLC, HARMLESS FOR ANY INJURY THAT MAY RESULT FROM FAILURE TO ABIDE BY THIS RULE.  

 

I AGREE TO TREAT ANY AND ALL GUNS ON THE PREMISE AS BEING LOADED, AND WILL NEVER POINT THE MUZZLE OF ANY GUN, AT ANY TIME, WHETHER LOADED OR NOT, AT MYSELF OR IN THE DIRECTION OF ANOTHER HUMAN BEING.  

 

I AM AWARE THAT SHOOTING AT STEEL TARGETS AND FRAMES COULD POTENTIALLY RESULT IN RICOCHETS. I WILL NOT INTENTIONALLY SHOOT AT THE GROUND, ROCKS, PLANT & ANIMAL LIFE OR ANY OBJECT OTHER THAN A TARGET LOCATED DOWN RANGE. I AM VOLUNTARILY ACCEPTING ALL RISK OF INJURY OR DAMAGES DUE TO RICOCHETS.  

 

I AM AWARE THAT AMMUNITION, BOTH FACTORY AND RELOADED, ARE SUBJECT TO DEFECTS. I RELEASE LA CLAYS SHOOTING SPORTS PARK, LLC, FROM ANY RESPONSIBILITY FOR DAMAGE TO MY FIREARM, OR ANY INJURY OR DEATH RESULTING FROM THE USE OF DEFECTIVE AMMUNITION – PURCHASED AT LA CLAYS SHOOTING SPORTS PARK, LLC.  

 

I UNDERSTAND THAT FAILURE TO FOLLOW THE RULES AS THEY PERTAIN TO GUN AND RANGE SAFETY AND PERSONAL SAFETY, WILL RESULT IN REFUSAL OF SERVICE AND/OR BEING ASKED TO LEAVE THE FACILITY, INCLUDING REVOCATION OF MEMBERSHIP PRIVILEGES.  

 

I UNDERSTAND THAT FOR THE PURPOSE OF SHOOTING HANDGUNS I MUST BE AT LEAST 21 YEARS OF AGE UNLESS ACCOMPANIED BY A PARENT OR LEGAL GUARDIAN.  

 

I UNDERSTAND THAT I MUST BE AT LEAST 18 YEARS OF AGE TO SHOOT SHOTGUNS AND PURCHASE SHOTGUN AMMUNITION.  

 

I UNDERSTAND THAT IF I AM AT LEAST 18 YEARS OF AGE BUT LESS THAN 21 YEARS OF AGE I MAY NOT RENT SHOTGUNS UNLESS THE BELOW EXEMPTIONS APPLY. **  

 

I HAVE READ AND ACKNOWLEDGE THE AFOREMENTIONED SAFETY RULES AND THE RULES LISTED ON THE BACK OF THIS FORM.

** FOR THE PURPOSE OF RENTING A SHOTGUN OR RIFLE, IF I AM AT LEAST 18 YEARS OF AGE AND LESS THAN 21 YEARS OF AGE I MUST HAVE A VALID HUNTING LICENSE, ARE ACTIVE OR RESERVES IN THE ARMED FORCES OR HONORABLY DISCHARGED, OR ACTIVE DUTY LAW ENFORCEMENT. **

Dated: October 20, 2020 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
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:
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Parent or Guardian's Email Address

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Emergency Contact

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Identification:

ID Type:

ID #:

Expiration:

Exemption License or ID #:

Expiration:
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 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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