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RANGE USE WAIVER

WAIVER

By my signature below, I, along with my agents, assigns, executors and administrators, in exchange for being allowed to enter and use the facilities, shooting range and/or other products or services of Green Top Shooting Range LLC (“GTSR”), do now absolutely and unequivocally release and hold harmless GTSR, its agents, lessor, officers, employees, instructors, assigns, owners and successors from any claim, demand, injury or liability, whether claimed by myself or another, arising out of such use of GTSR facilities, products or services.

ACKNOWLEDGEMENT AND ASSUMPTION OF RISK

I am fully aware that there are substantial risks to my person in the use of firearms, ammunition, indoor ranges and related products or services, and that these risks include gunshot wounds caused by myself or by another, or by ricochets, inhalation of lead vapor or other poisons, and damage to my hearing from the high sound levels, or to my vision or skin from gunshot flashes, and other risks not listed herein.

By participating in activities at GTSR, I understand and assume all such risks on my own behalf and on behalf of any individual accompanying me. I take full responsibility for my own safety, and the safety of any minor accompanying me.

I understand that if I am pregnant or believe I may be pregnant, I am not allowed on the range.

I understand that persons under thirteen (13) years of age are not permitted on the range at any time. If anyone under the age of twenty-one (21) is in my party, I accept full responsibility for their actions and safety, and assume the risk of any injury caused by or to such individual.

As a condition of being allowed to use the GTSR facilities, Guest agrees acknowledges and understands that his/her license to use the GTSR range is for personal recreational use only. Because GTSR offers a wide variety of classes taught by our certified instructors, any Guests found to be using the facilities at GTSR in a for-profit venture or in any way in conflict with the mission of GTSR, may be asked to leave without refund.

ACKNOWLEDGEMENT OF RANGE RULES

By my signature below, I acknowledge that I have read, understand, and agree to follow the below range rules, and any other range rules posted at the GTSR facilities. I understand that such rules may be changed from time to time, and that, in the event of a conflict, posted range rules shall apply. I understand and agree that any violation of these rules may result in my immediate and/or permanent removal from GTSR property.

SAFETY RULES

1. Always treat every gun as if it were loaded, even if recently cleared.

2. Always keep the muzzle pointed in a safe direction. Never point a firearm, even unintentionally, at another person or yourself.

3. Always keep your finger off the trigger and out of the trigger guard until ready to fire.

4. Be sure of your target and what is beyond it.

5. Eye and ear protection must be worn at all times on the range.

6. No handling of firearms may occur outside the shooting booth; all unholstered or uncased firearms must stay in the booth.

7. Only one (1) person may fire or handle a firearm at the firing position at a time.

8. All firearms must be cased, holstered or cleared by the Range Safety Officer (“RSO”) when entering or exiting the range.

9. No one may be forward of the firing line without permission of the RSO.

10. No tobacco, food or beverages are allowed on the range.

11. No one in possession of, or reasonably perceived to be under the influence of, alcohol or drugs is allowed on the range.

12. Children under 21 must be supervised by an adult over the age of 21. Up to two (2) persons over 21 years of age may be assigned to each lane, or a parent and their two (2) minor children over 13.

13. Open wounds or injuries must be covered while on the range.

14. If you experience any problem while on the firing line, leave your firearm in the shooting booth, pointed downrange, and contact the RSO.

15. Only persons Holster Certified by GTSR personnel may draw and shoot from a holster, and must follow GTSR Holster Rules.

EQUIPMENT RULES

16. All firearms, equipment, ammunition and techniques are subject to inspection and approval.

17. Black powder firearms are prohibited.

18. Full lead projectile, steel core, steel jacketed, steel tipped or tracer ammunition is prohibited. (Lead exceptions are rimfire & shotgun ammo)

19. Any device that increases the rate of fire of a weapon is prohibited. This includes, but is not limited to, bump stocks, forced reset triggers, and binary triggers.

20. No rifle sling use is permitted on the range.

21. All firearms must have sights.

22. All shotguns must have full stocks; Allowed shotgun ammo is 00, 000 & slugs; Slugs only on barrels shorter than 18in.

BEHAVIORAL RULES

23. Any unsafe, disruptive or combative behavior will result in removal from the range.

24. RSO instructions must be followed at all times. All RSO decisions are final.

25. Profane or offensive language is prohibited, included printed on clothing or equipment.

26. Sustained rapid fire is not permitted, and must be limited to 3-5 shot strings.

27. Filming or photographing anyone without their permission is prohibited.

28. Camera strobes and flashes are prohibited.

29. Do not shoot the walls, ceiling or range equipment.

30. Clean up only your brass. Do not remove brass from the buckets or brass left by other shooters.

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
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Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card
Driver's License / ID Card Number*
Issuing State*
Member ID (LEAVE BLANK IF NON-MEMBER)
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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*
Phone*
Parent or Guardian's Date of Birth*
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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