EASTERN CT FIREARM SAFETY RELEASE OF LIABILITY

Eastern CT Firearm Safety Classroom Release Form

* I ACKNOWLEDGE AND UNDERSTAND THAT SHOOTING ACTIVITIES ARE INHERENTLY HAZARDOUS and involve both known and unanticipated risks which could result in damage or destruction of property and physical or emotional injury, including paralysis or death, of myself or of other persons. The risks include, but are not limited to: being shot by or shooting myself or others; partial or total loss of eyesight or hearing; inhalation or other harmful contact with lead or other contaminants; and being struck by flying or falling objects. I understand that such risks cannot be eliminated without compromising the essential qualities of shooting activities.

* I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT the nature and condition of 1062 NORWICH NEW LONDONG TPKE, UNCASVILLE CT 06382 which from here on out will be called “CLASSROOM” AND VANTAGE POINT INC facilities which from here on out will be called “RANGE”, premises and environment is such that both known and unanticipated hazards exist which create or contribute to both known and unanticipated risks inherent in entering on/in to the CLASSROOM and RANGE, in using RANGE facilities and in engaging in or observing any activities of any kind whatsoever while at the RANGE. I understand that such hazards and risks cannot be eliminated without compromising the essential qualities of the RANGE facilities, equipment, premises and environment.

* I EXPRESSLY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS EXISTING ON THE CLASSROOM / RANGE AND IN ENTERING ON TO THE RANGE AND IN USING RANGE FACILITIES OR EQUIPMENT AND IN ENGAGING IN OR OBSERVING SHOOTING AND OTHER ACTIVITIES AT THE RANGE.

* I AGREE to assume all responsibility and liability for any act or acts, even any negligent, reckless or criminal act or omission to act, of my Guests at the CLASSROOM / RANGE (I understand that “my Guests” includes any and all persons who are not a student of the class (Student being a paid person who signed up for the purpose of learning), use the CLASSROOM / RANGE facilities or engage in or observe shooting and other activities at the CLASSROOM / RANGE as a result of my express invitation, permission or consent).

* I ACKNOWLEDGE AND AGREE that this Agreement shall be interpreted and enforced under the laws of the State of Connecticut, and that the venue for any action or proceeding shall be the State of Connecticut, without regard for the conflict of law rules of the State of Connecticut.

* FURTHER ACKNOWLEDGE AND AGREE that this Agreement is intended to be as broad and inclusive as permitted by law, and that if any provision or portion is held to be invalid, void or otherwise unenforceable, I agree and intend that the remaining provisions or portion shall continue and remain in full legal force and effect.

* By Signing below, you agree that you have read, reviewed with the instructor, and understand your responsibilities as a gun owner regarding safely storing your firearms. You understand through this class you will talk abouts specific laws set by state lawmakers and at no time throughout this class you will be given legal advice. If you have any issues with the information given regarding any of the state laws provided you are encouraged to reach out to either a private attorney or a state lawmaker.

* I UNDERSTAND THAT BY MY SIGNATURE I AM GIVING UP SUBSTANTIAL RIGHTS, THAT I AM AGREEING NOT TO SUE ROBERT GUEST, EASTERN CT FIREARM SAFETY AND RELEASING AND HOLDING HARMLESS ROBERT GUEST D.B.A. EASTERN CT FIREARM SAFETY AND VANTAGE POINT INC OF ALL LIABILITY AS WELL.

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I attest that I have not been convicted of a felony or any one of 10 misdemeanor offenses detailed in the statute make me ineligible to receive an eligibility certificate. I addition I have not been convicted as a delinquent for the commission of a serious juvenile offense (as defined in Section 46b-120); persons discharged from custody within the preceding twenty years after having been found not guilty of a crime by reason of mental disease or defect (pursuant to section 53a-13); persons confined in a hospital for persons with psychiatric disabilities, persons voluntarily admitted on or after October 1, 2013, to a hospital for persons with psychiatric disabilities (as defined in section 17a-495), within the preceding 12 months by order of a probate court; persons subject to a restraining or protective order issued by a court in a case involving the use, attempted use or threatened use of physical force against another person; persons subject to a firearms seizure order issued pursuant to C.G.S. 29-38c after notice and hearing; and any person who is an alien illegally or unlawfully in the United States, are prohibited from obtaining an eligibility certificate.

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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.

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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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