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On Target Firearms & Indoor Range LLC.

1852 Bridge Street

Dracut, MA 01826 

978-967-4933

www.dracutgunrange.com




Upon receiving permission from On Target Firearms & Indoor Range LLC to enter the premises of this firing range and in further consideration of receiving permission to participate in the use of the firing range, in any appropriate and lawful capacity, the undersigned hereby releases On Target Firearms & Indoor Range LLC, its agents, officers, servants and employees of and from any and all liability claims, demands, actions and cases of action whatsoever arising out of and related to any loss, damage or injury, including death, that may be sustained by the undersigned while in or on our

premises or any leased to, owned by or sanctioned, or under the control or supervision of On Target Firearms & Indoor Range LLC

The undersigned being duly aware of the risks and hazards inherent upon entering said premises and/or in participating in any appropriate and lawful uses thereof, hereby elects voluntarily to enter upon said premises, knowing their present condition and knowing said condition may become more hazardous and dangerous during the time that the undersigned is upon said premises.

This release shall be binding upon the distributes, heirs, next of kin, executors and administrators of the undersigned. In signing the foregoing release, the undersigned hereby acknowledges and represents:

1. That he/she has read the foregoing release, understands it and signs it voluntarily.

2. That he/she is 18 years of age or older or if under 18 years of age is in the accompaniment of an adult who assumes all responsibility for the minor and his/her actions.

IN WITNESS THEREOF, the undersigned has hereunto set his hand.


NOTICE: You must be in control of your firearm at all times while using our facility. There will be a minimum $25 charge added to your invoice for any property damage that occurs due to your negligence on the range. This includes baffles, target carriers and ceiling strikes. Damaged costs may be as high at $1500. 



First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Click to customize section title
How would you rate your firearms experience? *
Beginner
Intermediate
Expert
Have you ever been committed toamental institute or hadahistory of mental illness?*
No
Yes
Have you ever been convicted of a felony?*
No
Yes
Have you ever been convicted of a misdemeanor that was punishable by more than 2 years?*
No
Yes
Are you an unlawful user, or addicted to , marijuana or any depressant, stimulant, narcotic drug or any other controlled substance?*
No
Yes
Are there any reasons, that would make you ineligible to shoot a firearm?*
No
Yes
Drivers License Number (Keep Drivers License Out For Check In) *
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Main Range Safety Rules Acknowledgement
  • ALWAYS keep muzzle pointed down range

  • ALWAYS keep your finger off the trigger until target is in sight

  • ALWAYS keep the gun unloaded until ready to use

  • ALWAYS treat your firearm as if its loaded
By checking this box you are confirming you have read, understand and will follow the rules above. As well as any and all posted rules. A full list of range rules are available at the entrance of each range, inside of each range, inside of each airlock entering the range and on our website www.dracutgunrange.com *
I Agree
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*
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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