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2021 X-Ring Security Liability Waiver 

I, HEREBY ACKNOWLEDGE that I have voluntarily applied to enter on to and to engage in or to observe shooting and other activities at the X-Ring Security & Firearms Training Co., Inc. (RANGE). I further acknowledge and understand that “shooting and other activities” includes any and all activities of any kind in which I engage or observe while at the RANGE.

I Agree

I ACKNOWLEDGE AND UNDERSTAND THAT SHOOTING ACTIVITIES ARE INHERENTLY HAZARDOUS and involve both known and unanticipated risks which could result in damage or destruction of property and physical or emotional injury, including paralysis or death, of myself or others. These risks include but are not limited to: being shot by or shooting myself or others; partial or total loss of eyesight or hearing; inhalation or other harmful contact with lead or other contaminants; and being struck by flying or falling objects. I understand that such risks cannot be eliminated without compromising the essential qualities of shooting activities. 

I Agree

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT the nature and condition of the RANGE facilities, premises and environment is such that both known and unanticipated hazards exist which create contribute to both known and unanticipated risks inherent in entering on the RANGE, in using RANGE facilities and in engaging in or observing any activities of any kind whatsoever while at the RANGE. I understand that such hazards and risks cannot be eliminated without compromising the essential qualities of the RANGE facilities, equipment, premises and environment. 

I Agree

 

X-RING SECURITY & FIREARM TRAINING CO., INC. – RANGE RULES

  1. Always keep your firearms pointed in a safe direction (downrange) at all times.
  2. Always keep your finger off the trigger until ready to shoot.
  3. Always keep firearms unloaded until you are on the firing line and ready to use it. All firearms must have actions open (slide locked back) when away from the firing line.
  4. Know your target and what is beyond.
  5. Be sure your firearm is safe to operate.
  6. Know how to use your firearm safely. If you don’t know, please ask.
  7. Use only the correct ammunition for your firearm.
  8. Wear eye and ear protection while on range.
  9. Never use alcohol or drugs before while shooting.
  10. Smoking, eating, or drinking while inside the range is prohibited.
  11. Follow all range employee commands.
  12. Be alert for unexpected actions by other people and report unsafe behavior.
  13. Shoot only at authorized targets.
  14. Never go forward of the firing line.
  15. If your firearm malfunctions, leave it at your stall pointed downrange and ask an employee for assistance.
  16. No pregnant customers allowed into shooting area due to lead exposure.
  17. No rapid fire, shooting on the move, firing from prone or kneeling position, or drawing from holster unless you have passed the X-Ring qualification licensing test. All licenses must be displayed in the appropriate holder for easy viewing by the range safety officers.
  18. Outside ammunition is prohibited.
  19. No children under the age of 13 will be permitted on the range. All minors must be accompanied at all times by their parent or legal guardian.

I AGREE to abide by all X-Ring Security & Firearms rules as outlined above. 

I Agree

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT X-Ring Security & Firearms Training Co., Inc. has no duty to undertake first aid or rescue operations or procedures in the event any such property damage or physical or emotional injury occurs, and that any such operations or procedures may result in compounding or increasing the damages or injuries. 

I Agree

I FURTHER ACKNOWLEDGE AND UNDERSTND THAT X-Ring Security & Firearms Training Co., Inc. its officers or owners, makes no warranty as to the design, manufacture, maintenance, condition or fitness for any particular purpose of any RANGE facilities or equipment, including, but not limited: firearms, ammunition, eye/hearing protection, and first-aid supplies. 

I Agree

As lawful consideration for being permitted by X-Ring Security & Firearms Training Co., Inc. to enter on the RANGE, to use RANGE facilities or equipment and to engage in or observe shooting and other activities at the RANGE, I agree to the following: I AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS EXISTING ON THE RANGE, IN ENTERING ONTO THE RANGE AND IN USING RANGE FACILITIES OR EQUIPMENT AND IN ENGAGING IN OR OBSERVING SHOOTING AND OTHER ACTIVITIES AT THE RANGE. 

I Agree

I AGREE and assume all liability and responsibility for any act or acts, even any negligent, reckless or criminal act or omission to act, of my accompanying minors at the RANGE. (“my accompanying minor” means any minor who enters on to the RANGE, use the RANGE facilities or engage in or observe shooting and other activities at the RANGE as a result of my express invitation, permission or consent). I agree that I will ensure that each of my accompanying minors read, understand and sign an Acknowledgement of Risk, Release & Indemnity Agreement. 

I Agree

I AGREE to abide by all X-Ring Security & Firearms Training Co., Inc. rules, and to ensure that my accompanying minors do as well. 

I Agree

I AGREE that I, my next of kin, heirs, guardians, representatives and assigns HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS X-Ring, its officers, owners and/or employees from and against any and all claims, demands, damages, expenses, causes of action, attachments of property, or liability of any kind whatsoever, including reasonable attorney fees and costs, that I, my next of kin, heirs, guardians, representatives, or assigns, my guests, or anyone else, may have for property damages, personal injury or death, whether suffered by me, by my guests, or by anyone else, resulting from me or my guests entering on to the RANGE, using RANGE facilities or equipment, or engaging in or observing shooting and other activities at the RANGE, even if such claims, demands damages, expenses, causes of action, attachments of property, or liability result partially or wholly from any act or acts, even any negligent act or omission to act, including negligent or omitted first aid or rescue operations or procedures, by X-Ring, its officers, owners and /or employee. 

I Agree

I ACKNOWLEDGE AND AGREE that this Agreement shall be interpreted and enforced under the laws of the State of Hawaii, and that the venue for any action or proceeding shall be the State of Hawaii, Honolulu County, without regard for the conflict of law rules of Honolulu County or the State of Hawaii. 

I Agree

I ACKNOWLEDGE AND AGREE that this Agreement is intended to be as broad and inclusive as permitted by law, and that if any provision or portion is held to be invalid, void or otherwise unenforceable, I agree and intend that the remaining provision or portions shall continue and remain in full legal force and effect. 

I Agree

I ACKNOWLEDGE AND AGREE that the intent of this Agreement, as well as any signed written amendments or modifications to it shall remain in full force and effect from the date of execution and ever after and shall be applicable to each and every occasion that I or my guests enter on to the RANGE, use RANGE facilities or equipment or engage in or observe shooting and other activities at the RANGE. 

I Agree

I ACKNOWLDGE AND COMFIRM that I am not a convicted felon or a fugitive from justice, have never been adjudicated mentally defective or ever been committed to a mental institution, discharged from the Armed Forces under dishonorable conditions, subject to a court order restraining me from harassing, stalking, or threatening my child or an intimate partner or child of such partner, convicted of a misdemeanor crime of domestic violence, or have any other legal prohibitions from using or possessing firearms. 

I Agree

I have been asked to carefully review this agreement and I have been encouraged to seek legal advice before entering into this agreement. 

I Agree

I have carefully read this “Acknowledgement of Risk, Release & indemnity Agreement”. 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 X-Ring Security & Firearms Training Co., Inc.

I Agree

Membership will be granted, and may be revoked, at any time at the sole discretion of X-Ring Security & Firearm Training Center with or without cause. Use of range and equipment and purchase of any items are restricted to members in good standing.

I Agree

 

I certify that all information given on this application is true and correct to the best of my knowledge. I agree to be bound by all present and future membership rules and regulations.

Date of Signing: May 13, 2021

 

First Members Name

First Name*

Middle Name

Last Name*

Phone*
First Members Date of Birth*
First Members Signature*
Second Members Name

First Name*

Middle Name

Last Name*
Second Members Date of Birth*
Third Members Name

First Name*

Middle Name

Last Name*
Third Members Date of Birth*
Fourth Members Name

First Name*

Middle Name

Last Name*
Fourth Members Date of Birth*
Fifth Members Name

First Name*

Middle Name

Last Name*
Fifth Members Date of Birth*
Sixth Members Name

First Name*

Middle Name

Last Name*
Sixth Members Date of Birth*
Seventh Members Name

First Name*

Middle Name

Last Name*
Seventh Members Date of Birth*
Eighth Members Name

First Name*

Middle Name

Last Name*
Eighth Members Date of Birth*
Ninth Members Name

First Name*

Middle Name

Last Name*
Ninth Members Date of Birth*
Tenth Members Name

First Name*

Middle Name

Last Name*
Tenth Members Date of Birth*
Members 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*
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*

Middle Name

Last Name*

Relationship*

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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