ACKNOWLEDGEMENT OF RISK, RELEASE INDEMNITY AGREEMENT AND WAIVER OF LIABILITY

ACKNOWLEDGEMENT OF RISK, RELEASE INDEMNITY AGREEMENT AND WAIVER OF LIABILITY

EVERYONE who wishes to use this facility, whether shooting their own firearm or shooting a rental firearm MUST completely fill out this form. All information supplied will be kept strictly confidential, will NOT be distributed, sold, or made available to others for any purpose, and is for the sole use of CALIBER, LLC.

You 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 the firing range. CALIBER, LLC reserves the right to refuse service to anyone at any time and for any reason. WHEREAS, in consideration of the “participant” 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, LLC range and its facilities, and for other good and valuable consideration of which the receipt and efficiency is hereby acknowledged, I, the Participant, acknowledge and agree to the following:

Participant hereby certifies that they are of the proper age and maturity, has adequate knowledge, or has been schooled in fundamentals of the safe handling of firearms and ammunition. The Participant 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, which participant, individually or jointly and severely, may have or which may arise against CALIBER, LLC, its owners, staff, and volunteers.

Participant 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 Participant 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, LLC.

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

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

Today's Date: March 26, 2023

Please select who will be participating...

Adult Minor(s)
1 Minor 2 Minors 3 Minors 4 Minors 5 Minors More Minors 6 Minors 7 Minors 8 Minors 9 Minors 10 Minors

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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?*

Yes

Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*

Yes

Have you ever been convicted of a felony or CLASS A or B misdemeanor?*

Yes

Are you a U.S. Citizen or permanent resident? *

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?*

Yes

Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*

Yes

Have you ever been convicted of a felony or CLASS A or B misdemeanor?*

Yes

Are you a U.S. Citizen or permanent resident? *

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?*

Yes

Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*

Yes

Have you ever been convicted of a felony or CLASS A or B misdemeanor?*

Yes

Are you a U.S. Citizen or permanent resident? *

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?*

Yes

Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*

Yes

Have you ever been convicted of a felony or CLASS A or B misdemeanor?*

Yes

Are you a U.S. Citizen or permanent resident? *

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?*

Yes

Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*

Yes

Have you ever been convicted of a felony or CLASS A or B misdemeanor?*

Yes

Are you a U.S. Citizen or permanent resident? *

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?*

Yes

Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*

Yes

Have you ever been convicted of a felony or CLASS A or B misdemeanor?*

Yes

Are you a U.S. Citizen or permanent resident? *

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?*

Yes

Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*

Yes

Have you ever been convicted of a felony or CLASS A or B misdemeanor?*

Yes

Are you a U.S. Citizen or permanent resident? *

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?*

Yes

Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*

Yes

Have you ever been convicted of a felony or CLASS A or B misdemeanor?*

Yes

Are you a U.S. Citizen or permanent resident? *

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?*

Yes

Are you an unlawful user of, or addicted to marijuana, any depressant, stimulant, narcotic drug, or any other controlled substance?*

Yes

Have you ever been convicted of a felony or CLASS A or B misdemeanor?*

Yes

Are you a U.S. Citizen or permanent resident? *

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:*

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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