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Inner 10 Firearms Training LLC Waiver and Release of Liability

WHEREAS, in return for instruction in firearms, use of premises, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Undersigned agrees to the following:

The Undersigned agrees to indemnify, hold harmless and defend Patrice Scagliotti, Inner 10 Firearms Training, LLC, and any of its employees, directors, officers or agents, from any and all fault, liabilities, costs, expenses, claims, demands or lawsuits arising out of, related to or connected with: the discharge of firearms; the course of instruction; the Undersigned 's participation in the course of instruction; the range, buildings, land and premises used for the course of instruction (hereinafter the "Premises"); the Undersigned's presence on or use of said Premises; and any and all acts or omissions of the Undersigned. And should any such claim, demand or lawsuit arise or be asserted in any way whatsoever related thereto, whether arising under the laws of the United States or of any State, or under any theory of law or equity, the Undersigned will indemnify, hold harmless and defend Inner10 Firearms Training LLC, (including Patrice Scagliotti and/or associates), from any and all costs, expenses or liability including, but not limited to, the cost of any settlement or judgment made or rendered against Inner10 Firearms Training LLC, (including Patrice Scagliotti and/or associates), whether individually, jointly, or in solido with the Undersigned, together with all costs of court and other costs or expenses incurred in connection with any such claim, demand or lawsuit, including attorney's fees.

I Agree

1. Participant is at least 18 years of age, mentally competent, medically able and legally permitted to possess and use firearms. To the extent Participant is a minor, the parent or guardian listed below gives Participant permission to participate in an Inner 10 Firearms Training, LLC's event under the conditions stated within and signs on behalf of Participant. The individual signing below gives this General Release freely and knowingly with full understanding of its content and effect.

I Agree

2. Inner10 Firearms Training LLC, (including Patrice Scagliotti and/or associates) will allow Participant entry into the Course after Participant signs this Waiver. Participant acknowledges that the Course, though beneficial is not a necessity and that similar courses are offered by other entities. Participant is under no physical or economic compulsion from Inner10 Firearms Training LLC, (including Patrice Scagliotti and/or associates) to engage in this particular Course or to sign this Waiver.

I Agree

3. Participant will follow all directions given by Inner10 Firearms Training LLC, (including Patrice Scagliotti and/or associates) for the duration of the Course. Participant acknowledges that such directions are vital for the safety of all Course participants. Failure to follow directions from the Instructor may result in Participant’s ejection from the Course without refund of any monies paid to Inner 10 Firearms Training LLC, (including Patrice Scagliotti) for participant’s attendance.

I Agree

4. Participant expressly acknowledges that training with live ammunition is inherently dangerous and that there is no possible way that Inner 10 Firearms Training, LLC, its employees, or its agents can provide a totally safe environment for the Course. Participant acknowledges that attending and participating in the Course will enhance Participant’s exposure to risk of injury occasioned by carelessness of any and/or all individuals associated with the Course. The Participant risks serious bodily injury and harm that includes a risk of death or dismemberment. Participant hereby assumes the risk of any and all injury that may result in participation in the Course

I Agree

5. Participant hereby absolves Inner10 Firearms Training LLC, (including Patrice Scagliotti and/or associates) harmless from any sort of injury or damage experienced by Participant in taking the Course. Participant expressly waives any and all rights and causes of action participant may have for compensation at law and equity, including negligence, from Inner10 Firearms Training LLC (including Patrice Scagliotti and/or associates) in such event that the Participant is injured and shall indemnify the same.

I Agree

6. I do not have any physical injuries or restrictions that would limit or prevent me from participating in this training and I will inform the instructors upon arrival to the facility or training venue of any change or injury regardless of nature or occurrence.

I Agree

7. Participant understands that any photographic, video, or other electronic imagery produced as a result of this class is for the sole purpose of Inner10 Firearms Training LLC (including Patrice Scagliotti and/or associates) in their advertising and promotional uses. I hereby give permission to Inner10 Firearms Training LLC (including Patrice Scagliotti and/or associates) to use my image(s) for the above mentioned purposes.

I Agree

8. Participant certifies that they are not a fugitive from justice, or under indictment. Participant is legally permitted to possess and use firearms and other related equipment (“Firearms”), whether as part of an Inner 10 Firearms Training, LLC  event or otherwise, and is capable of using Firearms safely. Participant is responsible for determining the requirements of all applicable laws as they may relate to ownership, possession and use of firearms, and remaining in compliance with such requirements. Participant will follow the policies, procedures and rules of the venue and Inner 10 Firearms Training, LLC  range rules, including the policies, procedures and rules of the venue where an Inner 10 Firearms Training, LLC event takes place. Inner10 Firearms Training LLC (including Patrice Scagliotti and/or associates) reserves the right to revoke Participant’s right to participate in an Inner 10 Firearms Training, LLC event at any time for any reason.

I Agree

9. Participant certifies they have not been convicted, true found, or arrested for a felony offense. I am not currently on formal, informal, or summary probation/parole for any reason. I am not currently under the influence of an over-the-counter or prescription drug that would impair my judgment or physical ability to safely operate a firearm (real or simulated). Finally, I am not currently under adjudication or under any Court’s jurisdiction for mental incompetence.

I Agree

10. Participant understands the hazards of coronavirus and similar infectious diseases, and accepts full responsibility for self- compliance with the most recent CDC guidelines. Notwithstanding the risks associated with infectious disease, which are readily acknowledged, Participant hereby willingly chooses to participate, acknowledging and fully assuming the risk of illness or death arising from participating in the activities, arising from or out of, or relating to, directly or indirectly, the infection of coronavirus or any other illness or injury.

I Agree

This General Release will continue in effect even after termination of Participant’s participation in an Inner 10 Firearms Training, LLC event. An electronic or facsimile signature will have the same force and effect as an original, non-facsimile signature. This instrument binds the Undersigned and his / her executors, administrators, assignees or heirs. By signing below, Participant acknowledges and agrees to the above terms and conditions.

 

 

 

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:
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*
Proof of Citizenship
Are you a US Citizen?*
Yes
No

If you are a Resident Alien, record your U.S.-issued alien or admission number (AR#, USCIS#, or I94#)
PARENT / GUARDIAN WAIVER FOR MINORS In the event that the participant is under the age of consent (18 years of age), then this release must be signed by a parent or guardian, as follows: I hereby certify that I am the parent or guardian of, named above, and do hereby give my consent without reservation to the foregoing on behalf of this individual.
Parent or Guardian's Name

First 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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