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LIABILITY RELEASE FORM
The Gun Range
2401 S. Fort Hood Street
Killeen, TX 76542

I have read and understand the Rules and Policies of Tap Rack Bang Indoor Shooting Range LLC dba The Gun Range and will adhere to them while participating in any and all activities held on The Gun Range property. I understand that participation in activities taking place on the property of The Gun Range may be hazardous for the above named, participant.

In signing below, I agree to the above statements as well as assume personal risk of harm or injury that may occur as a result of participation in or observation of any and all activities taking place on The Gun Range property. I hereby release Tap Rack Bang Indoor Shooting Range LLC dba The Gun Range, and its officers, employees, or agents from any liability, cost and damages resulting from this individual’s participation. Participant agrees to reimburse The Gun Range for any damage caused directly or indirectly to equipment and/or facility.

I agree that the minor has my consent as his/her Parent, or legal Guardian to participate in this activity or event. I also give my consent for the business or organization to seek emergency treatment for the minor if necessary, and I agree to accept financial responsibility for the cost related to this emergency treatment.

There will be a $75.00 cable replacement fee for any person(s) who is found to have ignored TGR policies or has caused damage resulting in range cable(s) being broken as well as shooting a rifle caliber on the handgun range or vice versa. Anyone who leaves without informing The Gun Range Staff of a shot cable(s) will incur a $25.00 additional fee.

Cable replacement fee & caliber restriction acknowledgment:

June 27, 2022

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Additional Information

Calibers being used:
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*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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