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ISSAQUAH SPORTSMEN’S CLUB ISSAQUAH
Non-Member Waiver

As a guest of Issaquah Sportsmen’s Club, I am responsible for my actions and those of my party and I shall place targets on cardboard backers and not indiscriminately shoot at down range signage, target holders and range safety equipment. I shall also supervise members in my party to assure compliance with the above and of all range rules. I know that failure to do so will result in my (and my party) being barred from the use of these facilities.

The Undersigned has read and understands the posted safety rules, knows that anticipated and unanticipated dangers associated with the use of firearms and equipment on public ranges present a risk of death, personal injury, or property damage; and acknowledges that it is not the function, responsibility, or duty of the Issaquah Sportsmen’s Club, its Officers, Directors, Management, Members, agents or Employees to act as the guardians of his/her safety.

In consideration for being permitted entry to and/or use of the premises and facilities of the Issaquah Sportsmen’s Club, and on behalf of him/herself, his/her family, estate, heirs and assigns, the undersigned hereby assumes all the risks of death, personal injury and/or property damage, and forever releases, discharges, and agrees to hold harmless the Issaquah Sportsmen’s Club, its Officers, Directors, Management, Members, Agents and Employees from all claims, demands, causes of action, or liability of any kind, including attorney’s fees, for death, personal injury, and/or property damage occurring during the Undersigned presence on or use of the premises and facilities of the Issaquah Sportsmen’s Club.

Date April 25, 2024

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Zip *
Are you legally authorized to have firearms in your possession*
Yes
Are you currently concealing a handgun on your person?*
No
Yes

(If yes, disclose to Cashier or RSO) 

I have read and understand the additional range rules provided to me.*
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Zip *
Are you legally authorized to have firearms in your possession*
Yes
Are you currently concealing a handgun on your person?*
No
Yes

(If yes, disclose to Cashier or RSO) 

I have read and understand the additional range rules provided to me.*
Yes
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Zip *
Are you legally authorized to have firearms in your possession*
Yes
Are you currently concealing a handgun on your person?*
No
Yes

(If yes, disclose to Cashier or RSO) 

I have read and understand the additional range rules provided to me.*
Yes
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Zip *
Are you legally authorized to have firearms in your possession*
Yes
Are you currently concealing a handgun on your person?*
No
Yes

(If yes, disclose to Cashier or RSO) 

I have read and understand the additional range rules provided to me.*
Yes
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Zip *
Are you legally authorized to have firearms in your possession*
Yes
Are you currently concealing a handgun on your person?*
No
Yes

(If yes, disclose to Cashier or RSO) 

I have read and understand the additional range rules provided to me.*
Yes
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Zip *
Are you legally authorized to have firearms in your possession*
Yes
Are you currently concealing a handgun on your person?*
No
Yes

(If yes, disclose to Cashier or RSO) 

I have read and understand the additional range rules provided to me.*
Yes
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Zip *
Are you legally authorized to have firearms in your possession*
Yes
Are you currently concealing a handgun on your person?*
No
Yes

(If yes, disclose to Cashier or RSO) 

I have read and understand the additional range rules provided to me.*
Yes
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Zip *
Are you legally authorized to have firearms in your possession*
Yes
Are you currently concealing a handgun on your person?*
No
Yes

(If yes, disclose to Cashier or RSO) 

I have read and understand the additional range rules provided to me.*
Yes
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Zip *
Are you legally authorized to have firearms in your possession*
Yes
Are you currently concealing a handgun on your person?*
No
Yes

(If yes, disclose to Cashier or RSO) 

I have read and understand the additional range rules provided to me.*
Yes
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Zip *
Are you legally authorized to have firearms in your possession*
Yes
Are you currently concealing a handgun on your person?*
No
Yes

(If yes, disclose to Cashier or RSO) 

I have read and understand the additional range rules provided to me.*
Yes
Parent or Guardian's Email Address

Email*

Confirm Email*
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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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Zip *
Are you legally authorized to have firearms in your possession*
Yes
Are you currently concealing a handgun on your person?*
No
Yes

(If yes, disclose to Cashier or RSO) 

I have read and understand the additional range rules provided to me.*
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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