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GREEN VALLEY RANGE

175 CASSIA WAY #A1110

HENDERSON, NV 89014

Undersigned is fully aware that firearm shooting and all associated activities are inherently dangerous and can lead to injury or death and no amount of care, caution, instruction, or expertise can eliminate these risks. Undersigned understands the scope, nature, and extent of the risks involved in the activities contemplated by this agreement and freely chooses to assume any and all such risks and dangers. The activities include, but are not limited to classroom instruction, shooting range, range-site instruction, firearm loading and discharging, ricochets, shrapnel, firearm maintenance, ultrasonic dip, and similar activities related to your personal firearm, rentals o r personnel training and ultrasonic equipment in and use of firearms (hereinafter collectively referred to as the 'Activities').

Undersigned agrees to indemnify and defend, including the payment of attorneys' fees, costs and expenses, Green Valley Range (hereinafter collectively referred to as Instructor, Training & Rental Organization'), from any and all fault, liabilities, injuries, costs, expenses, claims, demands or lawsuits arising out of related to or connected with the activities listed above and/or the Undersigned's presence at any facility used by Instructor, Training & Rental Organization (hereinafter collectively referred to as the 'Premises') that are caused or otherwise related to the non-negligent conduct of Instructor, Training & Rental Organization.

Undersigned furthermore waives and releases for himself/herself and for his/her spouse, executors, personal representatives, administrators, insurers, successors, assigns, heirs and next of kin, any and all rights, injuries, losses, demands and claims which may arise against Instructor, Training & Rental Organization (including but not limited to the death of the Undersigned and/or any and all injuries, damages or illnesses suffered by Undersigned or Undersigned's property), which may, in any way whatsoever, arise out of, be related to or be connected with the Activities; the Premises, including any latent or other defect in the Premises; Undersigned's presence on or use of the Premises; Undersigned's property (whether or not entrusted to Instructor & Training Organization); and anything else related to any of the foregoing. Instructor & Training Organization shall not be liable for, and Undersigned, on behalf of himself/herself and on behalf of his/her spouse, executors, personal representatives, administrators, assignees, heirs and next of kin, hereby expressly releases the Instructor,Training & Rental Organization from any and all such claims, damages, injuries and liabilities.

Undersigned hereby acknowledges and agrees the Undersigned has read this instrument and understands its terms and is executing this instrument voluntarily. Undersigned further certifies that he/she i s eighteen (18) years o f age (Long Gun use or rental) twenty-one (21) years of age (handgun use or rental) or older and state that he/she is not under the influence of alcohol, drugs, and/or any other mind-altering substance and will conduct him/herself in a respectful manner to fellow customers and/or Instructor, Training & Rental Organization.

Undersigned furthermore hereby acknowledges and agrees that he/she has read, understands and will at all times abide by all range rules and procedures and any other rules and procedures stated b y the Instructor, Training & Rental Organization.

Undersigned expressly agrees that this instrument is intended to be as broad and as inclusive as permitted by law, and that if any provision of this instrument is held invalid or otherwise unenforceable, the enforceability of the remaining provisions shall not be impaired thereby. No remedy conferred by any of the specific provisions of this instrument is intended to be exclusive of any other remedy, and each and every remedy shall b e cumulative and shall be in addition to every other remedy now or hereafter existing at law or in equity or by statute or otherwise. The elections of any one or more remedy hereunder by the Instructor, Training & Rental Organization shall not constitute any waiver of Instructor's, Training & Rental Organization's right to pursue other available remedies. This instrument binds Undersigned and his/her spouse, executors, personal representatives, administrators, successors, assigns, heirs and next of kin.

Undersigned further acknowledges b y signing this document that he/she is not prohibited b y any Federal, State, o r local law or ordinance from owning, possessing, or using firearms. 

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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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