Loading...

ERML SPORTSMEN’S FOUNDATION RANGE
Waiver of Liability, Release & Covenant Not to Sue

I hereby understand and agree to accept the risk of bodily injury and/or property damage which I may incur or cause a third party to incur as a result of my use of the range facilities and premises.  I understand that this risk includes, but is not limited to, any lead dust inhalation, noise, airborne materials or objects, including firearm projectiles, injuries incurred by natural hazards of the range facilities and the actions of other users of the range facilities.  I further agree to indemnify, defend, and hold harmless the ERML Sportsmen’s Foundation, Inc., Escambia River Muzzle Loaders, Inc. (doing business as Escambia River Gun Club), their officers, directors, agent, employees and members, from and against any and all claims, injuries, suits or judgments arising there from, or in connection with, my presence on the range facilities.  I agree to this indemnification and save harmless for myself, my successors, assigns, heirs, executors and administrators, and any other person or entity who may have a claim based upon my personal injuries or property damage.  I understand that engaging in or spectating any shooting activity constitutes my involvement in a potentially hazardous activities with accompanying risks of personal injury or death and loss or damage to personal property, and I hereby voluntarily assume those risks.

Furthermore, I have read and agree to abide by the rules and regulations pertaining to use of the range facilities.  I understand that I will be held financially responsible for any damage to the range facilities or occurs through my use of the same.

Today's Date: September 28, 2022

First CCW Class Attendee Name

First Name*

Last Name*

Phone*
First CCW Class Attendee Date of Birth*
First CCW Class Attendee Information
***ATTENTION*** Please read the question before answering. Are you PROHIBITED by Federal or State law from possessing or using Guns? If your answer is YES, please stop the waiver and notify the RSO Immediately.*
First CCW Class Attendee Signature*
Second CCW Class Attendee Name

First Name*

Last Name*
Second CCW Class Attendee Date of Birth*
Second CCW Class Attendee Information
***ATTENTION*** Please read the question before answering. Are you PROHIBITED by Federal or State law from possessing or using Guns? If your answer is YES, please stop the waiver and notify the RSO Immediately.*
Third CCW Class Attendee Name

First Name*

Last Name*
Third CCW Class Attendee Date of Birth*
Third CCW Class Attendee Information
***ATTENTION*** Please read the question before answering. Are you PROHIBITED by Federal or State law from possessing or using Guns? If your answer is YES, please stop the waiver and notify the RSO Immediately.*
Fourth CCW Class Attendee Name

First Name*

Last Name*
Fourth CCW Class Attendee Date of Birth*
Fourth CCW Class Attendee Information
***ATTENTION*** Please read the question before answering. Are you PROHIBITED by Federal or State law from possessing or using Guns? If your answer is YES, please stop the waiver and notify the RSO Immediately.*
Fifth CCW Class Attendee Name

First Name*

Last Name*
Fifth CCW Class Attendee Date of Birth*
Fifth CCW Class Attendee Information
***ATTENTION*** Please read the question before answering. Are you PROHIBITED by Federal or State law from possessing or using Guns? If your answer is YES, please stop the waiver and notify the RSO Immediately.*
Sixth CCW Class Attendee Name

First Name*

Last Name*
Sixth CCW Class Attendee Date of Birth*
Sixth CCW Class Attendee Information
***ATTENTION*** Please read the question before answering. Are you PROHIBITED by Federal or State law from possessing or using Guns? If your answer is YES, please stop the waiver and notify the RSO Immediately.*
Seventh CCW Class Attendee Name

First Name*

Last Name*
Seventh CCW Class Attendee Date of Birth*
Seventh CCW Class Attendee Information
***ATTENTION*** Please read the question before answering. Are you PROHIBITED by Federal or State law from possessing or using Guns? If your answer is YES, please stop the waiver and notify the RSO Immediately.*
Eighth CCW Class Attendee Name

First Name*

Last Name*
Eighth CCW Class Attendee Date of Birth*
Eighth CCW Class Attendee Information
***ATTENTION*** Please read the question before answering. Are you PROHIBITED by Federal or State law from possessing or using Guns? If your answer is YES, please stop the waiver and notify the RSO Immediately.*
Ninth CCW Class Attendee Name

First Name*

Last Name*
Ninth CCW Class Attendee Date of Birth*
Ninth CCW Class Attendee Information
***ATTENTION*** Please read the question before answering. Are you PROHIBITED by Federal or State law from possessing or using Guns? If your answer is YES, please stop the waiver and notify the RSO Immediately.*
Tenth CCW Class Attendee Name

First Name*

Last Name*
Tenth CCW Class Attendee Date of Birth*
Tenth CCW Class Attendee Information
***ATTENTION*** Please read the question before answering. Are you PROHIBITED by Federal or State law from possessing or using Guns? If your answer is YES, please stop the waiver and notify the RSO Immediately.*
CCW Class Attendee 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*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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.

By signing below the parent or court-appointed legal guardian agrees that they are also 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
***ATTENTION*** Please read the question before answering. Are you PROHIBITED by Federal or State law from possessing or using Guns? If your answer is YES, please stop the waiver and notify the RSO Immediately.*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!