Firearms Training Waiver

I affirm that...

- I am physically and psychologically fit to participate in this training. It is my responsibility to address any concerns with a qualified medical professional.

If you are or may be pregnant, you should consult with your doctor.

- I fully understand the risks involved in this training activity. I understand that this is serious and life-threatening.

- I release GranitePond, instructors, assistants, and the range or club for any liabilities like injuries, damages, accidents, or death.

- I release, waive, and indemnify this organization, including the employees and owners, from any accidents, injuries, damages, or death during the training classes.

- I will not attend any training under the influence of any intoxicating substance (for firearms, this includes marijuana) or while I have any other impediment that will restrict my ability to think and act responsibly.

- I understand that I am responsible for my own actions.

- I confirm that I am 21 years and above and I am legally allowed to own and use a firearm.

I understand that If the instructor believes I have created a safety problem or that I am involved in any suspicious or criminal activities, the instructor has the right to remove the participant from the course without a refund.

I confirmed that all information I entered in this form is true and accurate.

Please select who will be participating...

Adult Minor

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First Participant's Name

First Name*

Last Name*

Phone*

First Participant's Date of Birth*

Date of Birth

First Participant's Information

Are you currently under the influence of any intoxicating substance (for firearms, this includes marijuana) or have any other impediment that will restrict your ability to think and act responsibly? *

Yes

Please answer yes or no

These are some of the questions from the AFT 4473 form you fill out when you purchase a firearm - you must be able to answer no to these particular questions to participate in firearms training with Granitepond: Please go to AFT.gov and review the official form 4473 instructions.

c. Are you under indictment or information in any court for a felony, or any other crime for which the judge could imprison you for more than one year, or are you a current member of the military who has been charged with violation(s) of the Uniform Code of Military Justice and whose charge(s) have been referred to a general court-martial?

d. Have you ever been convicted in any court, including a military court, of a felony, or any other crime for which the judge could have imprisoned you for more than one year, even if you received a shorter sentence including probation?

e. Are you a fugitive from justice?

f. Are you an unlawful user of, or addicted to, marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance? Warning: The use or possession of marijuana remains unlawful under Federal law regardless of whether it has been legalized or decriminalized for medicinal or recreational purposes in the state where you reside.

g. Have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution?

h. Have you ever been discharged from the Armed Forces under dishonorable conditions?

i. Are you subject to a court order, including a Military Protection Order issued by a military judge or magistrate, restraining you from harassing, stalking, or threatening your child or an intimate partner or child of such partner?

j. Have you ever been convicted in any court of a misdemeanor crime of domestic violence, or are you or have you ever been a member of the military and been convicted of a crime that included, as an element, the use of force against a person as identified in the instructions?

k. Have you ever renounced your United States citizenship?

l. Are you an alien illegally or unlawfully in the United States?

By signing this document, you confirm you can answer no to these questions.

First Participant's Signature*

Type Signature

Draw Signature

Click to Sign

Parent or Guardian's Email Address

Email*

Confirm Email*

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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone 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. A parent or Guardian must be present during all in person training.

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*

Last Name*

Phone*

Parent or Guardian's Date of Birth*

Date of Birth

Parent or Guardian's Information

Yes

Please answer yes or no

e. Are you a fugitive from justice?

g. Have you ever been adjudicated as a mental defective OR have you ever been committed to a mental institution?

h. Have you ever been discharged from the Armed Forces under dishonorable conditions?

k. Have you ever renounced your United States citizenship?

l. Are you an alien illegally or unlawfully in the United States?

By signing this document, you confirm you can answer no to these questions.

Parent or Guardian's Signature*

Type Signature

Draw Signature

Click to Sign

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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Agree To This Document