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LIABILITY WAIVER CALIBER MANAGEMENT LLC

ACKNOWLEDGEMENT OF RISK, RELEASE INDEMNITY AGREEMENT AND WAIVER OF LIABILITY

PATRONS who desire to use this facility.  Whether shooting their personal firearms or shooting a rental firearm from Caliber Management LLC.  It is a MADATE that this form MUST be  completely executed.  All information received will be kept strictly confidential. And will NOT be distributed, sold, or made available to others for any purpose, and is for the sole use of CALIBER MANAGEMENT, LLC.

Patrons must be at least 18 years of age to rent a firearm and must show a valid FOID card or state issued I.D.

Anyone suspected of being under the influence of alcohol or drugs will not be permitted on Caliber Management LLC firing range. CALIBER MANAGEMENT, LLC reserves the right to refuse service to anyone at any time and for any reason. WHEREAS, in consideration of the “patron” being allowed to enter, participate, observe and/or use in any way, including instruction and coaching in firearms handling, shooting sports and competitions within CALIBER MANAGEMENT, LLC range and its facilities. And for other good and valuable consideration of which the receipt and efficiency is hereby acknowledged, I, the Patron, acknowledge and agree to the following statement of facts:

Patron hereby certifies that they are of the proper legal age. Has and demonstrates maturity, has adequate gun knowledge. Or has been demonstrated fundamentals of the safe handling of firearms and ammunition. The Patron furthermore waives for themselves and their executors, administrators, assignees, or heirs, any and all rights and claims for injuries, illnesses, damages, or losses to participant, and another actions or demands whatsoever.  In which patron, individually or jointly and severely, may have or which may arise against CALIBER MANAGEMENT, LLC, its owners, staff, and volunteers.

Patron hereby expressly assumes the risk of entering the premises and of taking parts in all activities which include but are not limited to, the discharge of firearms and the firing of live ammunition.

The Patron furthermore acknowledges and agrees that they have read, understand and will at all times abide by all rules, regulations, directions and procedures imposed by and Sponsor, and the staff of CALIBER MANAGEMENT, LLC. 

This instrument binds the patron and their executors, administrators, assigns, and heirs forever.

Patron shall observe and uphold the mandate rule of Caliber Management LLC.  No steel cased ammo shall be used, dispensed or exchanged.  Breach of this mandate/rule patron shall agree his/her/their of their immediate removal of Caliber Management LLC range without any refund or credit for services rendered at that point of time. NO EXCEPTIONS

PHOTOGRAPHS ARE NOT ALLOWED WITHOUT PERMISSION OF A SENIOR CALIBER STAFF MEMBER!

Today's Date: June 16, 2024

 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

FOID CARD# (or Driver's License for non-Illinois residents)
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness or severe depression?*
No
Yes
Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*
No
Yes
Have you ever been convicted of a felony or CLASS A or B misdemeanor?*
No
Yes
Are you a U.S. Citizen or permanent resident? *
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

FOID CARD# (or Driver's License for non-Illinois residents)
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness or severe depression?*
No
Yes
Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*
No
Yes
Have you ever been convicted of a felony or CLASS A or B misdemeanor?*
No
Yes
Are you a U.S. Citizen or permanent resident? *
No
Yes
Third Participant's Name

First Name*

Middle Name

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

FOID CARD# (or Driver's License for non-Illinois residents)
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness or severe depression?*
No
Yes
Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*
No
Yes
Have you ever been convicted of a felony or CLASS A or B misdemeanor?*
No
Yes
Are you a U.S. Citizen or permanent resident? *
No
Yes
Fourth Participant's Name

First Name*

Middle Name

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

FOID CARD# (or Driver's License for non-Illinois residents)
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness or severe depression?*
No
Yes
Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*
No
Yes
Have you ever been convicted of a felony or CLASS A or B misdemeanor?*
No
Yes
Are you a U.S. Citizen or permanent resident? *
No
Yes
Fifth Participant's Name

First Name*

Middle Name

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

FOID CARD# (or Driver's License for non-Illinois residents)
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness or severe depression?*
No
Yes
Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*
No
Yes
Have you ever been convicted of a felony or CLASS A or B misdemeanor?*
No
Yes
Are you a U.S. Citizen or permanent resident? *
No
Yes
Sixth Participant's Name

First Name*

Middle Name

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

FOID CARD# (or Driver's License for non-Illinois residents)
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness or severe depression?*
No
Yes
Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*
No
Yes
Have you ever been convicted of a felony or CLASS A or B misdemeanor?*
No
Yes
Are you a U.S. Citizen or permanent resident? *
No
Yes
Seventh Participant's Name

First Name*

Middle Name

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

FOID CARD# (or Driver's License for non-Illinois residents)
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness or severe depression?*
No
Yes
Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*
No
Yes
Have you ever been convicted of a felony or CLASS A or B misdemeanor?*
No
Yes
Are you a U.S. Citizen or permanent resident? *
No
Yes
Eighth Participant's Name

First Name*

Middle Name

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

FOID CARD# (or Driver's License for non-Illinois residents)
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness or severe depression?*
No
Yes
Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*
No
Yes
Have you ever been convicted of a felony or CLASS A or B misdemeanor?*
No
Yes
Are you a U.S. Citizen or permanent resident? *
No
Yes
Ninth Participant's Name

First Name*

Middle Name

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

FOID CARD# (or Driver's License for non-Illinois residents)
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness or severe depression?*
No
Yes
Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*
No
Yes
Have you ever been convicted of a felony or CLASS A or B misdemeanor?*
No
Yes
Are you a U.S. Citizen or permanent resident? *
No
Yes
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

FOID CARD# (or Driver's License for non-Illinois residents)
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness or severe depression?*
No
Yes
Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*
No
Yes
Have you ever been convicted of a felony or CLASS A or B misdemeanor?*
No
Yes
Are you a U.S. Citizen or permanent resident? *
No
Yes
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:*


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*
Parent or Guardian's Information

FOID CARD# (or Driver's License for non-Illinois residents)
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness or severe depression?*
No
Yes
Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*
No
Yes
Have you ever been convicted of a felony or CLASS A or B misdemeanor?*
No
Yes
Are you a U.S. Citizen or permanent resident? *
No
Yes
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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