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Darnall Gun Works & Ranges / F.A.S.T Training Waiver

"Where Shooters Serve Shooters"

Adult Release and Indemnification Agreement

 


Darnall Gun Works & Ranges Facility (Outdoor Range, Indoor Range, Trap, Skeet and Sporting Clays Range) Darnall F.A.S.T. Training Group: NRA PPITH, Illinois Carry Conceal Class, NRA First Step Program, NRA Basic Pistol & Level II Tactical Classes.


RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT      

I, wish to engage in and/or spectate firearms training and/or shooting at the facility operated by Darnall Gun Works & Ranges, Darnall F.A.S.T. Training Group, at 6125 E 1175 North Road, Bloomington, Illinois (hereinafter referred to as the "Facility"). In order to participate in and /or spectate firearms training and/or shooting at the Facility, I agree as follows:

1. I am over the age of 18 and I am competent. I have read this entire RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT (hereinafter referred to as "My Release and Indemnification Agreement") and I hereby agree to its terms and conditions. 

2. I have read the Facilities' RULES in their entirety. I understand all of the RANGE RANGES and I agree to follow the RANGE RULES in their entirety.  

3. I understand and agree that participating and/or spectating in firearms training and/or shooting at the Facility in any manner that is hazardous. I understand and agree that at the Facility, I am at risk whether foreseen or unforeseen, among other things, death, personal injury, hearing loss, loss of vision, broken bones, bruises, cuts and/or injury by shrapnel and other bodily injuries and /or loss of or damage to my property. I understand that at the Facility, I am at risk of death, personal injury and/or property damage from, but not limited to, being shot, equipment malfunction, falls, existing medical conditions and/or damaged equipment and/or clothing. I hereby accept all of these risks in order to participate and/or spectate in any manner at the Facility.

4. I hereby release forever discharge and agree to indemnify and hold harmless Darnall Gun Works & Ranges, Darnalls F.A.S.T. Training Group, and its owners, officers, employees, independent contractors, agents, volunteers and invitees ( hereinafter individually and collectively referred to as the "Release Parties") from any and all claims, demands or causes of action that are in any way connected to my activities in the Facility or my presence in the Facility or my use of equipment in the Facility.  

5. I hereby agree that in the event of lawsuit is filed against one or more of the Released Parties that relates in any manner to my activities at the Facility or my presence at the Facility, the proper venue for said lawsuit shall by the Circuit Court of the Eleventh Judicial Circuit, State of Illinois, County of McLean, and that the prevailing party in said lawsuit shall, as part of any judgement, have and receive his, her or its court costs and reasonable attorneys' fees.

6. My Release and Indemnification Agreement is binding upon my personal representatives, heirs, successor, and assigns. 

7. Regardless of the number of times I use or visit, the Facility, My Release and Indemnification Agreement shall remain binding upon me and my personal representatives, heirs, successors, and assigns until such time as I have expressly withdrawn My Release and Indemnification Agreement in writing and delivered same to Darnall Gun Works & Ranges. 

8. In signing this Release and Indemnification Agreement, I assert that (a) I am presently in good physical and mental health, (b) I have no reason to believe that I am not in good physical and mental health, (c) know the risks involved in such activities, and that unanticipated risks may arise during such activities, (d) I have read the Release and Indemnification Agreement and Range Rules and fully understand the terns and conditions of this Release, (e) I have signed the Release and Indemnification Agreement on my own free act.

 IMPORTANT: In the interests of everyone’s safety, I also agree to expulsion from the Darnall Gun Works & Ranges Facility and Darnall F.A.S.T. Training Group and forfeiture of my fee if I should continually or willfully fail to observe safety procedures. 

 The staff of DARNALL’S GUN WORKS AND RANGES will do everything within their power to make use of these facilities, and the events you attend, to be safe and injury free. We have learned from experience that minor injuries are not uncommon. All persons using this facility are required to read and sign the document prior the commencing any live-fire range event.

I am aware that shooting is a hazardous activity and I am voluntarily participating in these activities with knowledge of the risks involved. I hereby agree to accept any and all risks of injury or death.

I agree to follow all directions of the range officers, match director and range staff on any and all safety instructions. This includes wearing eye and ear protection on and in the proximity of the firing line.

For training classes and special events, I understand that all firearms will be brought to the firing line empty, loaded on command, and unloaded before leaving the firing line. Pistols will be transported muzzle down [or in a holster] with the slide locked open. 

For training classes and special events, I understand that any participant may refuse any exercise or task that they deem unsafe or beyond their ability or current training level, Any participant may stop at any time and inform the range staff.

I understand there is zero tolerance for negligent firearm discharge. Further, persons who fail to exhibit safe gun handling [including the use of safety mechanisms], keep their firearm pointed in a safe direction, commit repeated safety violations, disregard range commands or exhibit disruptive behavior may be removed from the facilities without recourse. 

I grant Darnall's Gun Works and Ranges and ADAMAX the right and permission to copyright and/or use, reuse, publish, and/or republish photographic/video images or pictures that include me for advertising and/or promotional purposes. Additionally, I release , discharge and agree to hold harmless Darnall's Gun Works and Ranges and Adamax from any liability resulting from use o the above mentioned photography/video or use of my name. I understand that I will have no control over the manner of use of materials produced and hereby waive any right to pre-approve or inspect materials prior to distribution. 

I certify that I am over the age of 21 and legally entitled to possess and use a handgun. I have not consumed alcohol or taken any substance that would impair my ability to safely handle or discharge or a firearm. 

I understand that by signing this document, I am releasing Darnall's Gun Works and Ranges, and Adamax Tactical Academy Inc,, and staff from any liability for personal injury, property damage and/or death arising from my participation in this course.

 


 

 


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*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
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*
Check to receive information, news, and discounts by e-mail.
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*

Emergency Contact's Relation to Participant
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
FOID/CONCEAL CARRY NUMBER

Foid / Conceal Carry #: *
Safety Instructors Information for those without FOID cards

Safety Instructors Name

FOID Number
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 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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