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​Annual Member Firearm Rental Agreement / Information

You must be at least 18 years of age to purchase Shotgun Ammunition. You must be at least 21 years of age to rent a Shotgun unless you are at least 18 years of age and have a valid hunting license, are active duty or reserves in the armed forces, are honorably discharged from the armed forces, or are active law enforcement you will be able to rent a Shotgun. You must have a valid form of photo identification.

ANYONE SUSPECTED OF BEING UNDER THE INFLUENCE OF ANY SUBSTANCE, WHETHER LEGAL OR NOT, PRIOR TO SHOOTING WILL BE ASKED TO LEAVE PREMISES.

* If you do not know how to use a firearm, please notify our staff ​BEFORE​ taking the firearm onto the shooting line. We have range personnel who can assist you with the safe operation of firearms *

All ammunition used in our rental firearms must be purchased from LA Clays Shooting Sports Park, LLC.

No rental firearms are allowed to be brought to any location other than the designated ranges for the type of firearm being rented. If you have to use the restroom, please bring the firearm back to the counter or notify a Rage Safety Officer (RSO) to look after it for you.

By signing this form the customer acknowledges that they have read all of our Range and Rental rules on the back of the Range Agreement & Release of Liability Form, and understands them. The customer also understands the proper and safe use of the firearm they are renting, and will seek the assistance of a Range Safety Officer (RSO) if they experience any issues with the firearm, or are unsure how to operate the firearm. The customer acknowledges that any and all injuries that may occur are at their own risk.

LA Clays Shooting Sports Park, LLC is not liable for any injuries that may occur due to use and/or misuse of any rental firearm. The customer is responsible for any damage to range equipment due to negligence or misuse.

By signing this form the customer attests that they are not a prohibited person, and are legally allowed to handle firearms, purchase ammunition, and participate in shooting activities at this shooting facility.

Thank you for purchasing an Annual Membership with LA Clays Shooting Sports Park, LLC.. Being a Member allows you access to our Shotgun Ranges during normal business hours. Membership also provides discounted range fees at our Archery Ranges and discounted Clay Targets at our Shotgun Ranges, as well as discounts in our Restaurant. All Members must still check-in with the Range Office ​BEFORE​ going out onto the ranges. LA Clays Shooting Sports Park, LLC is constantly improving our facility for the customer’s safety and enjoyment, however this means certain ranges may be closed during our normal business hours for improvements. Our Members agree that on certain days, the range may not be open for use, and prior notice may not be given. Membership benefits do not extend to guests of Members or family members. Membership benefits are valid for one year from date of purchase. By signing this form, you agree to the conditions above, as well as any further conditions that Management decides in the future. Memberships are NOT REFUNDABLE.

Dated: October 20, 2020 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Do you have any firearm experience?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Have you had any firearm training?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Do you have any firearm experience?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Have you had any firearm training?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Do you have any firearm experience?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Have you had any firearm training?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Do you have any firearm experience?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Have you had any firearm training?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Do you have any firearm experience?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Have you had any firearm training?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Do you have any firearm experience?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Have you had any firearm training?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Do you have any firearm experience?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Have you had any firearm training?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Do you have any firearm experience?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Have you had any firearm training?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Do you have any firearm experience?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Have you had any firearm training?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Do you have any firearm experience?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Have you had any firearm training?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
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*
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 Information
Do you have any firearm experience?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
Have you had any firearm training?*
No
Yes
If yes, which?
Handgun
Shotgun
Rifle
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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