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This is a liability waiver required to enter the Indoor Range and Outdoor Sporting Clays Course. This waiver must be completed regardless of participation of shooting or observing.

By my signature below, intending to be legally bound hereby, the undersigned acknowledge full and complete satisfaction by Elite Indoor Gun Range and Peace Dale Shooting Preserve, (IDGR15 LLC) of all claims, demands, damages and liabilities based on my participation at IDGR15; waves, cancels, remises and forever discharges any obligation or liability of IDGR for any claim based on my participation at the shooting range and agrees and does hereby absolutely and unequivocally release from any liability and hold harmless Elite Indoor Gun Range and Peace Dale Shooting Preserve and any of their employees, instructors, agents, representatives, officers or members of the board in regard to any use of the property or facilities of IDGR. This release is for any and all liability for personal injuries (including death) and property losses or damage occasioned by, or in connection with any activity or accommodations on IDGR property. The undersigned further agrees to abide by all rules and regulations of IDGR and agrees to pay for any and all damages caused by the firearms they bring or rent and ammunition, vehicle of self and/or guests. I further understand that shooting can be dangerous and will at all times exercise safe gun handling practices. I agree to indemnify Elite Indoor Gun Range and Peace Dale Shooting Preserve from and against any and all manner of claims, demands, damages, losses, liabilities, costs or expenses of any nature or kind whatsoever, including attorney fees and court costs, which may now or hereafter be sustained, suffered or incurred by IDGR, as result or any claims asserted by me or by any other member or guest as results of my participation at Elite Indoor Gun Range and Peace Dale Shooting Preserve, (IDGR15 LLC).

I Agree

Please select who will be participating...
AdultMinor
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First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Is this your first time shooting?*
No
No, but I've shot less than 5 times
Yes
Are you under 21 years of age?*
No
Yes
Are you a fugitive from justice?*
No
Yes
Are you a unlawful user of, or addicted to any depressant, stimulant, narcotic or controlled substance including marijuana?*
No
Yes
Have you or will you consume(d) any alcohol, marijuana, narcotics or stimulants prior to arriving at or while at the facility? **Understand that the suspicion or odor of use of the aforementioned substances will prevent entry to the facility.*
No
Yes
Have you been convicted in any court of a crime punishable by imprisonment for a term exceeding 1 year, even if you were given a shorter sentence?*
No
Yes
Have you ever been charged with a Felony of any kind, misdemeanor crime of domestic violence, or firearms crime of any kind?*
No
Yes
Have you ever been adjudicated mentally defective or committed to a mental institution?*
No
Yes
Have you ever been convicted in any court of a misdemeanor crime of domestic violence?*
No
Yes
Are you subject to a court order restraining you from harassing, stalking, or threatening a domestic partner or child of a domestic partner?*
No
Yes
First Participant's Signature*
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*
Shooting Experience
What shooting related content interests you?
Firearms, ammunition and accessory deals
Community and Events
Training and Classes
Sporting Clays
Indoor Range
Local Firearms News
How did you find out about our facility?*
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 Information
Is this your first time shooting?*
No
No, but I've shot less than 5 times
Yes
Are you under 21 years of age?*
No
Yes
Are you a fugitive from justice?*
No
Yes
Are you a unlawful user of, or addicted to any depressant, stimulant, narcotic or controlled substance including marijuana?*
No
Yes
Have you or will you consume(d) any alcohol, marijuana, narcotics or stimulants prior to arriving at or while at the facility? **Understand that the suspicion or odor of use of the aforementioned substances will prevent entry to the facility.*
No
Yes
Have you been convicted in any court of a crime punishable by imprisonment for a term exceeding 1 year, even if you were given a shorter sentence?*
No
Yes
Have you ever been charged with a Felony of any kind, misdemeanor crime of domestic violence, or firearms crime of any kind?*
No
Yes
Have you ever been adjudicated mentally defective or committed to a mental institution?*
No
Yes
Have you ever been convicted in any court of a misdemeanor crime of domestic violence?*
No
Yes
Are you subject to a court order restraining you from harassing, stalking, or threatening a domestic partner or child of a domestic partner?*
No
Yes
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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