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SOUTH METRO PUBLIC SAFETY TRAINING FACILITY

2021 Participant Waiver and Release Form

The undersigned, for and in consideration of using the South Metro Public Safety Training Facility (the Facility), hereby consents and agrees to the following:

  1. I agree that my participation and use of the Facility is voluntary. I know and am aware of all the dangers associated with my participation and use of the Facility and acknowledge that it is NOT an essential service provided by the Facility or its partnering organizations. I understand that shooting firearms is dangerous. I acknowledge that I may be exposed to lead and airborne lead particles. I further acknowledge that no matter what precautions I may take, including but not limited to the wearing of various types of protective gear (including hearing and eye protection), that I could experience injury of a very serious nature and/or die as a result of an accident or incident.
  2. I agree that I will abide by all rules and regulations governing the use of the Facility and will comply with all local ordinances, and state and federal laws. I acknowledge that I have received and reviewed the Facility Rules and Regulations (available on-site and on-line at (southmetro.training). I understand that the Facility is authorized to terminate my use of the Facility at any time for a violation of the Facility Rules and Regulations, or for any other reason within the discretion of the Facility.
  3. I have determined that by professional standards, my shooting equipment, ammunition and all corresponding items are in good condition and suitable for the shooting contemplated by this Waiver and Release.
  4. In consideration of being allowed to use the Facility, I personally assume all risks, whether known or unknown, associated with my participation and use of the Facility.
  5. I hereby release the Facility, its partnering organizations and their officials, employees and agents, from and against any and all claims, liabilities and damages caused in whole or in part by my use and occupancy of the Facility and resulting in harm, death, injury or other damage to me. This waiver and release does not waive liability for any injuries that I obtain as the result of willful, wanton or intentional misconduct by the Facility or any person acting on behalf of the Facility.
  6. I agree to indemnify, defend and hold harmless the Facility, its partnering organizations and their officials, employees and agents, from any and all claims, causes of action, lawsuits, damages, losses, or expenses, including attorney fees, arising out of or resulting from my use and occupancy of the Facility. It is my express intent that this Waiver and Release shall bind the members of my family, if I am alive, and my heirs, assigns and personal representatives if I am deceased.
  7. I further state that I understand that the terms herein are contractual and not a mere recital and that I sign this document as my own free act.

I have fully informed myself of the contents of the South Metro Public Safety Training Facility Affirmation and Release Statement by reading it before I signed it. 

Dated: June 14, 2021

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 Information
Do you wish to be enrolled in the REWARDS PROGRAM?*

  • For every $140 purchased, $20 will be placed in your account to be spent at the range. 
  • Rewards program members will receive a member card. 
  • Show your card to the cashier and you will not need to complete a waiver form for each visit.

First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Do you wish to be enrolled in the REWARDS PROGRAM?*

  • For every $140 purchased, $20 will be placed in your account to be spent at the range. 
  • Rewards program members will receive a member card. 
  • Show your card to the cashier and you will not need to complete a waiver form for each visit.

Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Do you wish to be enrolled in the REWARDS PROGRAM?*

  • For every $140 purchased, $20 will be placed in your account to be spent at the range. 
  • Rewards program members will receive a member card. 
  • Show your card to the cashier and you will not need to complete a waiver form for each visit.

Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Do you wish to be enrolled in the REWARDS PROGRAM?*

  • For every $140 purchased, $20 will be placed in your account to be spent at the range. 
  • Rewards program members will receive a member card. 
  • Show your card to the cashier and you will not need to complete a waiver form for each visit.

Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Do you wish to be enrolled in the REWARDS PROGRAM?*

  • For every $140 purchased, $20 will be placed in your account to be spent at the range. 
  • Rewards program members will receive a member card. 
  • Show your card to the cashier and you will not need to complete a waiver form for each visit.

Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Do you wish to be enrolled in the REWARDS PROGRAM?*

  • For every $140 purchased, $20 will be placed in your account to be spent at the range. 
  • Rewards program members will receive a member card. 
  • Show your card to the cashier and you will not need to complete a waiver form for each visit.

Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Do you wish to be enrolled in the REWARDS PROGRAM?*

  • For every $140 purchased, $20 will be placed in your account to be spent at the range. 
  • Rewards program members will receive a member card. 
  • Show your card to the cashier and you will not need to complete a waiver form for each visit.

Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Do you wish to be enrolled in the REWARDS PROGRAM?*

  • For every $140 purchased, $20 will be placed in your account to be spent at the range. 
  • Rewards program members will receive a member card. 
  • Show your card to the cashier and you will not need to complete a waiver form for each visit.

Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Do you wish to be enrolled in the REWARDS PROGRAM?*

  • For every $140 purchased, $20 will be placed in your account to be spent at the range. 
  • Rewards program members will receive a member card. 
  • Show your card to the cashier and you will not need to complete a waiver form for each visit.

Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Do you wish to be enrolled in the REWARDS PROGRAM?*

  • For every $140 purchased, $20 will be placed in your account to be spent at the range. 
  • Rewards program members will receive a member card. 
  • Show your card to the cashier and you will not need to complete a waiver form for each visit.

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 by e-mail (notifications sent only when we will be closed or when classes are offered).
Lanes may be rented by adults 18 years or older. Children 10 - 17 must be accompanied at all times by parent or guardian. Parent(s) or court-appointed legal guardian(s) must sign for any participating minor 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 Information
Do you wish to be enrolled in the REWARDS PROGRAM?*

  • For every $140 purchased, $20 will be placed in your account to be spent at the range. 
  • Rewards program members will receive a member card. 
  • Show your card to the cashier and you will not need to complete a waiver form for each visit.

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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