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You cannot attend a firearm class if you are a criminal convicted.

Você não pode participar de uma instrução de tiro se tiver alguma condenação criminal. 


ARNALDO ADASZ – USCCA CERTIFIED FIREARMS INSTRUCTOR


REALEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND IDENMINTY AGREEMENT


I understand the nature and risks of this activity and that I am qualified, am in good health, both mentally and physically, as well as possess the physical fitness standards displaying proper health, maturity and mental health condition to participate in such activities.


I fully understand that these activities involve risks of serious bodily Injury, Including permanent paralysis, disability and/or death, which may be caused by my own actions, or inactions, those of others participating in the training, the conditions in which training takes place, or the negligence of the releases named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs and damages I incur as a result of my participation in the training.


I hereby release, discharge and covenant not to sue INSTRUCTOR ARNALDO ADASZ and his respective, agents, officers, partners, volunteers, employees, Instructors, Consultants and trainers. This is to include other participants, sponsors, advertisers, and if applicable, owners and lessors of premises on which this training takes place from all liability, claims, losses or damages on my account caused or alleged to be caused in whole or in part by the negligence or the "releases:" or otherwise, including negligent rescue/aid operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk, I or anyone on my behalf, makes a claim against any of these releases, I will Indemnify, save, and hold harmless each other the releases from any loss, liability, damages, or cost which if any may incur as the result of such claim.


I have read the REALEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND IDENMINTY AGREEMENT, understand that I have given up substantial rights by signing this agreement and have signed it freely and without any inducement and assurance of any nature and intend it to be a complete and unconditional release of all liability to the areatest extent allowed by law and agree that if this agreement is held to the valid balance, notwithstanding, shall continue in full force and effect.


The undersigned (hereinafter referred to as "undersigned"), in consideration of the receipt of any training, advice, or Instruction, use of facilities, use of equipment, ammunition, loan of any firearm or antique firearm, and/or loan or provision of any other gear or supplies whatsoever, does hereby relinquish and waive, for myself, spouse, heirs, successors, assigns, dependents, administrators, executors, and all other persons or entities, any claims or causes of action for damages or any other kind of liability whatsoever, including gross as well as simple negligence. Any toss. damage or injury including death, that may be sustained by me, or to any property belonging to me, against INSTRUCTOR ARNALDO ADASZ.


Furthermore, the undersigned agrees that if he/she causes damage to any of the property or facilities of said classroom, firing range or any other place where instruction (including shooting) takes place during the training session(s), the undersigned shall be liable therefore, and will indemnify INSTRUCTOR ARNALDO ADASZ and any facilities which he is allowed to use during the class, including the employees, officers, members, instructors, assistants, helpers, contractors and volunteers from any liability or potential liability that any of them could or might incur thereby, and holds them harmless therefrom. The liability, waiver of liability and damages and indemnification stated in this agreement shall be applicable whether the undersigned receives or does not receive a course certificate.


I understand that,


1) live ammunition is not permitted in the classroom and


2) reloaded ammunition is not permitted, as there are major safety risks inherent in the use of reloaded ammunition, regardless of whether such reloaded ammunition is provided either by commercial or private sources.


Furthermore, I agree that if any part of this agreement is determined to be contrary to law, then all the remaining parts shall remain in full force and effect. I further agree and acknowledge that it is the undersigned responsibility to know all applicable laws pertaining to any of the areas covered by any training or instruction, and that any training and instruction are not intended to be a substitute for advice from legal counsel and that any advice, training, or instruction is not rendered as legal advice. Only an attorney may render legal advice. I further agree and acknowledge that it is the undersigned's sole responsibility to obtain the necessary training and documentation required to establish competency in the safe handling and discharge of firearms, and provide proof of same, as required by Florida State Statute 790.06, to the State of Florida, in order to apply for and obtain a Florida Concealed Weapon Permit. The instructor provides no guarantee whatsoever that completion of the course of instruction will result in the issuance of a Florida Concealed Weapons License. Only the State of Florida may make that determination. Likewise, if a student participates in training with a firearm, the instructor reserves the right to refuse to issue training certificate if, in the sole discretion of the instructor, the student's performance is not satisfactory.


I also agree that if I, the student, am either pregnant or believes that I may be pregnant, I shall advise the instructor prior to the firing portion of the class, as such information is important to my safety. I also agree that if I, the student, have any medical or health condition that might affect my ability to safety participates, I shall advise the instructor prior to the firing portion of the class, as such information is important to my safety. I also agree and acknowledge that any Florida Concealed Weapon Permit academic class segment, in and of itself, does not satisfy the requirement of safely handling and discharging a firearm as required by Florida State Statute 790.06, as range time and the safe handling and discharge of a firearm is required by law in addition to any classroom instruction. I further understand and agree that this document is governed by the laws of the State of Florida.


HIGH RISK WARNING: I participate in this instruction, training, and/or use of firearms at my own risk. I further acknowledge that all firearm usage is considered "HIGH RISK" and hereby acknowledge I understand the risks associated with said firearm usage, and knowingly proceed with the training and/or firearm usage with attendant high risks being realized, recognized, and willingly accepted.


ASSURANCE OF NON-PROHIBITION: I have read the foregoing release, understand it, and sign it voluntarily as my own free act and deed;


A. No oral representation, statements or inducements, apart from the foregoing written agreement, have been made;


B. I am at least eighteen (18) years of age and fully competent or I am under the supervision of a fully competent adult;


C. I am not under the influence of alcohol, illegal drugs, or prescription medications that impair my judgment or my ability to safely participate.


D. I am not prohibited from the use, purchase, ownership, or procession of a firearm in the State of Florida and United States in accordance with Florida State Statute Title XLVI Chapter 790 Section 23: Felons and Delinquents Possession of Firearms, Ammunition, or Electric Weapons or Devices Unlawful and/or The 1968 Gun Control Act and subsequent amendments codified at 18 U.S.C. § 921 etseq. prohibit anyone convicted of a felony and anyone subject to a domestic violence protective order from possessing a firearm.


E. I authorize and grant to INSTRUCTOR ARNALDO ADASZ the right to take photographs and/or videos of me and my property in connection with the above-identified course instruction. I authorize INSTRUCTOR ARNALDO ADASZ its assignees and transferees to copyright, use and publish the same in print and/or electronically. I agree that INSTRUCTOR ARNALDO ADASZ may use such photographs and/or videos of me with or without my name and for any lawful purpose, Including, for example, such purposes as publicity, illustration, advertising, and Web content.


F. I execute this Release for full, adequate and complete consideration fully intending to be bound by same.


G. This Waiver of Liability Agreement shall remain in full force unless and until revoked in writing and delivered to INSTRUCTOR ARNALDO ADASZ.

Copy and paste the body of your waiver here.

RELEASE OF MINOR’S RIGHTS

READ THIS WAIVER COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO ALLOW YOUR MINOR CHILD TO ENGAGE IN A OTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF THE INSTRUCTOR ARNALDO ADASZ USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE THAT YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CAN NOT BE AVOIDED OR ELIMINATED. BY ELECTRONICALLY



First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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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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Click to customize textSIGNING THIS FORM OR ON PAPER COPY, YOU ARE GIVING UP BOTH YOUR CHILD'S RIGHT AND YOUR RIGHT TO RECOVER FROM INSTRUCTOR ARNALDO ADASZ IN A LAWSUIT FOR ANY PERSONALINJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE SHOOTING RANGE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND THE INSTRUCTOR MARCIUS RIVAS, HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM. AS THE PARENT OR GUARDIAN, YOU AGREE TO BE HELD LIABLE FOR ANYTHING THAT RESULTS FROM THE MINOR'S ACTIONS INCLUDING, BUT NOT LIMITED TO, FINANCIAL IMPLICATIONS, PHYSICAL DAMAGE, AND/OR DEATH.

In accordance with FSS 790,23 it is unlawful for any person to own or have in his or her care, custodypossession, or control any firearm, ammunitionor electronic weapon or device, or to carry concealed weapon, including a tear gas gu or chemical weapon or device, if that person has been convicted of a felony in the courts of this state. If convicted of Actual Possession of a Firearm by a Convicted Felona judge is required to impose a minimum-mandatory sentence of three-years in prison and can also impose any combination of the following penalties: Up to fifteen years in prison, up t fifteen years probation and up to $10,000.00 in fines.


ANYONE SUSPECTED OF BEING UNDER THE INFLUENCE OF A DRUG OR ALCOHOL, OR IMMENATING THE ODOR OF USAGEWILL NOT BE ALLOWED TO DO ANY CLASS


INSTRUCTOR ARNALDO ADASZ RESERVES THE EXCLUSIVE RIGHT TO REFUSE SERVICE TO ANYONE FOR ANY REASON



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 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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