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Range Waiver

WAIVER, RELEASE, and DECLARATION 

IMPORTANT! This is a binding legal Agreement. Read it CAREFULLY before signing. By signing this Agreement, you are giving up important legal rights. 

1. Terms: 

a. Claims: any and all legal claims, lawsuits, causes of action, damages, expenses, injuries or costs. This includes, but is not limited to, claims for intentional acts, negligence, whether ordinary, reckless, or gross, Illness, nuisance, noise, damage/theft/loss/destruction of personal property, or any other legal claim that is cognizable in a state or federal court of law, regardless of whether related to Participant / Guest / Observer’s or his/her Minor Child / Ward (if any)’s participation in activities offered by or use of or being on the Property of BFR

b. Illness: Any illness, disease, sickness, or condition, of any form, nature, and cause, including, but not limited to, any flu, COVID-19, cold, or other communicable diseases, illness, sickness, or condition, fever, stomach distress, and food poisoning. 

c. Limitations: physical, mental, emotional or other limitations, disabilities, illnesses, injuries or conditions. 

d. Participant / Guest / Observer: Any individual whether a member, participant, guest or observer of BFR, including, but not limited to, participants, guests, observers, event coordinators, range officers, instructors, shooters, role players, volunteers, or any other person, regardless of age, granted permission to participate in activities/training/instruction, observe activities/training/instruction or use or otherwise be on the Property of BFR

e. Minor Child / Ward: Any minor, who is under the charge, care, or protection of a Participant / Guest / Observer, and includes that minor’s parents, estate, heirs, successors and assigns. f. Property: Any property of any form, tangible or intangible, including, but not limited to, real estate, buildings, erections, Range, goods, products, firearms, ammunition, firearm accessories, knives, weapons, or any object owned, leased or rented, whether wholly or partially, by BFR.  

g. Range: any and all shooting, training, instruction, and practice ranges, including, but not limited to, firing ranges, tactical/dynamic ranges, virtual ranges and simulators, combatives training range and shoot house, whether used for lethal, non-lethal or virtual fire or training/instruction, in any capacity. 

h. Ben Franklin Range, LLC or BFR: Ben Franklin Range, LLC, Lodestone Training and Consulting, LLC, American Freedom Holdings, LLC, and their respective officers, officials, directors, members (including, but not limited to, Abigail Ross, Jared Ross, Robin Connolly, Ryan Connolly, Patrick Connolly), owners, shareholders, employees, representatives, agents, event and stage coordinators and designers, training personnel and directors, role-players, firearm and safety instructors, volunteers, attorneys and law firms, insurers (including, but not limited to, Associated Industries Insurance Company, Inc., and Granite State Insurance Company), sponsors, vendors, lessors, renters, and any legal entity having any interest or right in any Property utilized by BFR


2. Illness Declaration: Neither I nor my Minor Child / Ward (if any) have any Illness or have been in contact with any person with any Illness, or exhibiting any symptoms (e.g. cough, shortness of breath, fever, chills, loss of taste or smell…etc.) of any Illness, in the last fourteen (14) days. 

3. Agreement to Follow All Safety Rules and Directions: In consideration for me and my Minor Child / Ward (if any) being permitted to be a Participant / Guest / Observer and have use of the Property of the BFR, I, hereby AGREE TO FOLLOW AND COMPLY WITH the written safety rules provided to me with this Agreement, as well as all safety rules, range procedures, and directions, whether written or oral, of BFR as well as, all applicable state and federal laws regarding possession, transport, and transportation of firearms and ammunition and explosives. I further agree that if I observe any safety violation by anyone (employee, participant, guest, observer, or other person), or any unsafe condition of any kind, I will IMMEDIATELY call it to BFR’s attention by contacting an employee of BFR. I further agree that BFR may terminate my and my Minor Child / Ward (if any)’s use of their Property at any time if I or my Minor Child / Ward (if any) violate any safety rule, procedure or direction, in which case any fees I have paid will not be refunded to me. 

4. Non-Prohibited Person Declaration: By signing this Agreement, I declare, pursuant to 18 PA.C.S. § 4903 – False Swearing, to the best of my knowledge, information and belief that neither: 

a. I nor my Minor Child / Ward (if any) are currently under indictment or information in any court of a crime that could be punished by more than one year in jail. 

b. I nor my Minor Child / Ward (if any) have been convicted in any court of a crime that could have been punished by more than one year in jail, regardless of the actual sentence imposed. 

c. I nor my Minor Child / Ward (if any) are fugitives from justice. 

d. I nor my Minor Child / Ward (if any) are unlawful users of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance. 

e. I nor my Minor Child / Ward (if any) are under the influence of alcohol or any lawful drug that may impair our abilities and we have not consumed any alcohol or lawful drug that may impair our abilities within the last twelve (12) hours. 

f. I nor my Minor Child / Ward (if any) have ever been adjudicated mentally defective or committed to a mental institution. 

g. I nor my Minor Child / Ward (if any) have ever been dishonorably discharged from the Armed Forces. 

h. I nor my Minor Child / Ward (if any) are not subject to a court order restraining us from harassing, stalking, or threatening a child or an intimate partner or child of such a partner. 

i. I nor my Minor Child / Ward (if any) have ever been convicted in any court of a misdemeanor crime of domestic violence. 

j. I nor my Minor Child / Ward (if any) have ever renounced our United States citizenship. k. I nor my Minor Child / Ward (if any) are aliens illegally in the United States. 

l. I nor my Minor Child / Ward (if any) are suffering from any Illness

m. I nor my Minor Child / Ward (if any) have any unlawful, illegal, wrongful or otherwise deceitful intentions in executing this Agreement, in utilizing BFR’s Property, or in participating in training/instruction offered by BFR. 


5. Advice and Training: I understand that any training, instruction, guidance, advice, or suggestions of BFR shall not be construed as legal advice, including on whether any particular action or inaction is justified or lawful under the law. I agree to seek out competent legal advice for all legal questions and not rely on any statements made by BFR

6. Release of My Image, Likeness and Auditory Communications: I understand that my and my Minor Child / Ward (if any)’s activities, including auditory communications, on BFR’s Property may be photographed, videotaped and/or otherwise captured electronically by BFR. I hereby grant BFR all rights to use my and my Minor Child / Ward (if any)’s image, likeness and auditory communications for the purpose of advertising or otherwise promoting its purpose. I understand that use of my and my Minor Child / Ward (if any)’s image, likeness and auditory communications will be for advertising purposes or otherwise promoting of BFR’s purposes. This use includes publishing in magazines, advertising, videos, internet websites, social media or other means, as long as it is not altered to show other than actual activities in a way that could be harmful to my character. All publications will be done tastefully and with integrity. I FORFEIT any and all rights to any CLAIMS relating to the use of my and my Minor Child / Ward (if any)’s image, likeness or communications, as described above. All photographs, videos, or other electronically captured media, including auditorily, taken at or in BFR’s Property remain the property of BFR, and may not be used or reproduced without the express written permission of Jared Ross, Abigail Ross, Ryan Connolly, or Patrick Connolly of BFR

7. Auditory Recordings: I understand that my and my Minor Child / Ward (if any)’s auditory communications on BFR’s Property may be recorded and grant permission to BFR to record all of my and my Minor Child / Ward (if any)’s auditory communications. 

8. Assumption of Risk: I understand that my being a Participant / Guest / Observer of BFR or my and my Minor Child / Ward (if any)’s, use of BFR’s Property involves numerous serious risks, including the risk of death, serious and non-serious physical injury, Illness, and property damage. These risks involve, but are not limited to, the risk that I and my Minor Child / Ward (if any) may be injured by: shooting ourselves, each other, or being shot by someone else; being bruised, cut, scratched, hit, kicked, punched kneed, elbowed or otherwise physically injured in any form; being injured by ricochet bullets or fragments, splatter or splashback from targets, target frames or the range backstop; malfunctioning or improperly designed activity and range equipment or props; improper installation or attachment of protective equipment or devices; risk of firearms or ammunition exploding or bursting; non-lethal rounds and non-lethal weapons causing injury, including serious, and non-serious bodily injury and death; live ammunition and weapons inadvertently being used instead of non lethal rounds or non-lethal weapons; risk of my falling, slipping, tripping or stumbling anywhere on BFR’s Property; risk of my suffering serious eye injury or blindness, hearing loss or deafness, brain damage, lead poisoning, broken bones, paralysis, sprains, strains, and other injuries resulting from use of BFR’s Property and participation in or observation of the associated activities; risks of emotional and psychological injury; risk of contracting or suffering from Illness, which may cause serious and non-serious symptoms and death; risk of my suffering injuries, death, or destruction of my property from wildlife; risk of damage or destruction of my personal property, including my vehicle; and other risks too varied and numerous to specify. By willingly, knowingly and voluntarily being a Participant / Guest / Observer of BFR, I and my Minor Child / Ward (if any) hereby ASSUME ALL RISKS involved, including EVEN THOSE, WHICH MAY BE CAUSED BY THE NEGLIGENCE (OF ANY FORM) OR CLAIMED NEGLIGENCE (OF ANY FORM) OF BFR. 


9. Release: I further agree to RELEASE BFR from LIABILITY for any and all CLAIMS, which may result from, or are in any way related to, BFR or its Property. I agree to RELEASE BFR from LIABILITY for any and all CLAIMS, even if caused by the NEGLIGENCE (OF ANY FORM) or CLAIMED NEGLIGENCE (OF ANY FORM) of BFR. 

10. Indemnity Agreement: I further agree to INDEMNIFY and DEFEND BFR AND HOLD BFR HARMLESS from any CLAIMS, whether brought by or on behalf of me, or brought by another, including, but not limited to, a spouse, Minor Child / Ward, other relative, or other Participant / Guest / Observer or his/her Minor Child / Ward, as a result of, but not limited to, actual or claimed negligence (of any form), Illness, or other improper conduct. I also agree to be responsible for all attorney fees and costs incurred by BFR in having to enforce and/or defend this Agreement, including, but not limited to, being responsible for paying for all of BFR’s attorney and expert fees (not to exceed $600 an hour, with an initial retainer of $50,000, which must replenished as attorney and expert fees are incurred) and costs in defending against any action brought by myself, someone on my behalf, or by my Minor Child / Ward, during the pendency of the action, as well as, at its conclusion. 

11. Health Condition Declaration: I hereby confirm that I AM IN GOOD HEALTH, and have no Limitations, including Illness, that would or might make it unsafe for me, or my Minor Child / Ward (if any), to be a Participant / Guest / Observer of BFR or use its Property. I agree to inform BFR in writing below, before becoming a Participant / Guest / Observer or using its Property, of any Limitations, physical or otherwise, including Illness, which would or might make it unsafe or inadvisable for me, or my Minor Child / Ward (if any), to perform any particular types of activities or exercises. To the extent I, or my Minor Child / Ward (if any), develop or become aware of any such Limitations while being a Participant / Guest / Observer of BFR or otherwise using BFR’s Property, or feel that any of BFR’s activities or programs are ones in which I, or my Minor Child / Ward (if any), cannot safely participate, I agree that I will immediately call this situation to the attention of BFR and that I AND MY MINOR CHILD / WARD (if any) WILL NOT PERFORM ANY ACTIVITY OR PROGRAM WHICH I FEEL IS UNSAFE FOR ME, OR MY MINOR CHILD / WARD (if any), TO PERFORM, OR WHICH IS BEYOND MY OR MY MINOR CHILD / WARD (if any)’s PHYSICAL OR MENTAL CAPABILITIES, SKILL LEVEL, or LEVEL OF TRAINING. I understand that my and my Minor Child / Ward (if any)’s use of BFR’s Property is voluntary, and there is no requirement that I or my Minor Child / Ward (if any) perform all, or any, of BFR’s activities or programs. My and my Minor Child / Ward (if any)’s current known Limitations (including the use of any prescription or non-prescription drugs or other substances) that might affect my or my Minor Child / Ward (if any)’s ability to participate fully and safely in the activities: 


None (Initial)


12. General Conditions: 


a. I agree that all matters arising out of or anyway relating to this Agreement shall be governed by and construed in accordance with the laws of the Commonwealth of Pennsylvania, without giving effect to its conflicts of law provisions. Any claim or cause of action arising in connection with this Agreement may only be brought in the Court of Common Pleas of Armstrong County, Pennsylvania. 

b. To the extent that any provision of this Agreement is held to conflict with or be unenforceable under applicable law, I agree that this Agreement shall be modified by the Court to the least extent possible to render it enforceable, and shall be enforced as so modified. 

c. I declare that this Agreement contains the total agreement and understanding between myself, my Minor Child / Ward (if any), and BFR with regard to the subject matter hereof, that there exist no other promises, representations, terms, conditions, agreements or courses of dealing not contained herein. I further declare and agree that, in any event, this Agreement supersedes any such promises, agreements, etc. in the event they ever occurred. This Agreement may not be amended or changed except in writing signed by Jared Ross, Abigail Ross, Ryan Connolly, or Patrick Connolly of BFR

d. I declare that my and my Minor Child / Ward (if any) being a Participant / Guest / Observer of BFR and use of BFR’s Property is purely voluntary, and that I and my Minor Child / Ward (if any) are compelled neither to participate in, attend, or observe BFR’s activities/training/instruction or use BFR’s Property nor to execute this Agreement.  

WHEREFORE, I HEREBY ACKNOWLEDGE AND AGREE BY MY SIGNATURE BELOW that I have read and understood this Agreement, including the within (1) Terms, (2) Illness Declaration, (3) Agreement to Follow All Safety Rules and Direction, (4) Non-Prohibited Person Declaration, (5) Advice and Training, (6) Release of My Image, Likeness and Auditory Communications, (7) Auditory Recordings, (8) Assumption of Risk, (9) Release, (10) Indemnity Agreement, (11) Health Condition Declaration and (12) General Conditions, that I had opportunity to review this Agreement with my attorney, and that by signing it, I expressly intend to be legally bound, as well as to bind my spouse, children, Minor Child / Ward, relatives, estate, heirs, successors and assigns. I further agree that this Agreement shall remain in force indefinitely. 



Copyrighted Firearms Industry Consulting Group, a division of Civil Rights Defense Firm, P.C. – All Rights Reserved.


First Participant's Name

First Name*

Middle Name

Last Name*

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

Street *

City, State and ZIP *

Drivers License State *

Drivers License Number
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Street *

City, State and ZIP *

Drivers License State *

Drivers License Number
Third Participant's Name

First Name*

Middle Name

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

Street *

City, State and ZIP *

Drivers License State *

Drivers License Number
Fourth Participant's Name

First Name*

Middle Name

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

Street *

City, State and ZIP *

Drivers License State *

Drivers License Number
Fifth Participant's Name

First Name*

Middle Name

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

Street *

City, State and ZIP *

Drivers License State *

Drivers License Number
Sixth Participant's Name

First Name*

Middle Name

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

Street *

City, State and ZIP *

Drivers License State *

Drivers License Number
Seventh Participant's Name

First Name*

Middle Name

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

Street *

City, State and ZIP *

Drivers License State *

Drivers License Number
Eighth Participant's Name

First Name*

Middle Name

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

Street *

City, State and ZIP *

Drivers License State *

Drivers License Number
Ninth Participant's Name

First Name*

Middle Name

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

Street *

City, State and ZIP *

Drivers License State *

Drivers License Number
Tenth Participant's Name

First Name*

Middle Name

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

Street *

City, State and ZIP *

Drivers License State *

Drivers License Number
Parent or Guardian's Email Address

Email*

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Copyrighted Firearms Industry Consulting Group, a division of Civil Rights Defense Firm, P.C. – All Rights Reserved. 

Parent/Guardian Addendum to  

Ben Franklin Range, LLC (“BFR”) Waiver, Release, and Declaration 


In addition to signing the Ben Franklin Range, LLC (“BFR”) Waiver, Release, and Declaration on my own behalf, by signing below, I am signing it on behalf of my Minor Child / Ward, ________________________________[signature], and I explicitly acknowledge and agree that I have legal right to bind my Minor Child / Ward to this Agreement, that all waivers, releases, indemnities, and declarations contained in the Ben Franklin Range, LLC Waiver, Release, and Declaration bind myself and my Minor Child / Ward with equal force, waiving and releasing any Claims my Minor Child / Ward may have or that I may have by or through my Minor Child / Ward, and that I agree to release and hold Ben Franklin Range, LLC harmless for any Claims on behalf of myself and my Minor Child / Ward. 



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*

Relationship*

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

Street *

City, State and ZIP *

Drivers License State *

Drivers License Number
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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