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11500 Crossroads Circle Suite J
Middle River, Maryland 21220

410-335-5100

http://www.freestategunrange.com

FreeState Gun Range Indemnification, Waiver, Assumption and Release Agreement

Anyone and everyone who shoots their own firearm or a rented firearm at FreeState Gun Range must completely and truthfully fill out and sign this form. There are no exceptions. This information will be used to identify and assess your ability to use this range.

Any and all visitors, guests, attendees, or users of FreeState Gun Range shall execute this agreement providing for the waiver and release of liability, assumption of risk and indemnification of Combat Shooter, Inc. d/b/a FreeState Gun Range Range and Link Logistics in the following form:

I desire to participate in shooting a firearm on the Range operated by Combat Shooter, Inc. d/b/a FreeState Gun Range at the facility of Link Logistics. In consideration of being permitted by FreeState Gun Range to participate in this activity and in recognition of FreeState Gun Range's reliance herein, I agree to all the terms and conditions forth in this Agreement.

I AM AWARE AND UNDERSTAND THAT THE ACTIVITY IS A POTENTIALLY DANGEROUS ACTIVITY AND INVOLVES THE RISK OF SERIOUS INJURY, DISABILITY, DEATH AND/OR PROPERTY DAMAGE. I ACKNOWLEDGE THAT ANY INJURIES THAT I SUSTAIN MAY RESULT FROM OR BE COMPOUNDED BY THE ACTIONS, OMISSIONS, OR NEGLIGENCE OF FREESTATE GUN RANGE, INCLUDING NEGLIGENT EMERGENCY RESPONSE OR RESCUE OPERATIONS OF FREESTATE GUN RANGE. NOTWITHSTANDING THE RISK, I ACKNOWLEDGE THAT I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITY WITH THE KNOWLEDGE OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DISABILITY, DEATH AND/OR PROPERTY DAMAGE ARISING FROM MY PARTICIPATION IN THE ACTIVITY, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF FREESTATE GUN RANGE OF OTHERWISE.

I further hereby understand and agree to accept the risk of bodily injury and/or property damage which I may incur or cause a third party to incur as a result of my use of the Ranges facilities, premises and property. I understand that this risk includes, but is not limited to, any lead dust inhalation, noise, airborne materials or objects, and the actions of other users of the Range.

With this understanding, I further hereby expressly agree to waive, release, indemnify, defend, and hold harmless the Combat Shooter, Inc. d/b/a FreeState Gun Range, Link Logistics, its officers, directors, managers, agents, shareholders and employees (collectively "Releasees") from and against any and all claims, now known or hereafter known, leases, injuries, disability, death, property damage, suits or judgments arising from, or in connection with, my presence on the property or participation on the Range whether arising out of the ordinary negligence of any Releasees or otherwise.

I covenant not to make or bring any such claim against FreeState Gun Range or any other Releasee, and forever release and discharge FreeState Gun Range and all other Releasees from liability under such claims. This waiver and release does not extend to claims for gross negligence, willful misconduct, or any other liabilities that Maryland law does not permit to be released by agreement.

I hereby consent to receive medical treatment deemed necessary if I am injured or require medical attention during my participation or presence at the range. I understand and agree that I am solely responsible for all costs related to such medical treatment and any related medical transportation and/or evacuation. I hereby release, forever discharge, and hold harmless the Releasees from any claim based on such treatment or other medical services.

This Agreement constitutes the sole and entire agreement of FreeState Gun Range and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Agreement is invalid, illegal or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Agreement or invalidate or render unenforceable such term of provision in any other jurisdiction. This Agreement is binding on an shall inure to the benefit of FreeState Gun Range and me and their respective successors and assigns. All matters arising out of or relating to this Agreement shall be governed by and construed in accordance with the internal laws of the State of Maryland without giving effect to any choice or conflict of law provision or rule (whether of the State of Maryland or any other jurisdiction). Any claim or cause of action arising under this Agreement may be brought only in the federal and state courts located in Baltimore County, Maryland and I hereby consent to the exclusive jurisdiction of such courts.

BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS AGREEMENT AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COMBAT SHOOTER, INC. d/b/a FREESTATE GUN RANGE AND LINK LOGISTICS.

I agree to this indemnification and save harmless for myself, my successors, assigns, heirs, executors and administrators, and any other person or entity (ies) who/which may have a claim based upon my death, disability, personal injuries and/or property damage.

Furthermore, I have read and agree to abide by the FreeState Gun Range Safety Rules at all times and acknowledge receipt of a copy of same. I understand further that I will be held financially responsible for any damage to the property, facilities or equipment which occurs through my use or misuse of the Range. Pregnant women and children under the age of 10 may not enter the range.

 

FreeState Gun Range Operational Rules

1) All Federal, State, and local Firearm laws must be obeyed.

2) All firearms and magazines must be clear/unloaded before entering the facility.

3) Everyone who enters the range MUST have on Eye and Ear Protection.

4) Shooters MUST case and uncase all firearms at the firing line.

5) Shooting from the prone position or kneeling position is prohibited.

6) All rifle calibers and shotgun TARGETS must be at 25 yards.

7) Firearms not on the firing line must be unloaded and cased.

8) Guns/magazines may only be handled on the range.

9) FreeState Range Safety Officers have the right to inspect any firearms or ammunition at any time.

10) Shooters must complete and sign the FreeState Gun Range RELEASE, WAIVER, HOLD HARMLESS, INDEMNIFICATION AND ASSUMPTION OF RISK AGREEMENT before using the range.

11) Food, beverages, and smoking are prohibited on the range.

12) NO muzzle loading firearms may be fired.

13) All calibers of pistols may be fired.

14) Rifles up to and including 7.62 x 39 may be fired, but must be equipped with a muzzle brake, flash hider, or suppressor.

15) Shotgun slugs or 00 Buckshot may be fired. Birdshot may NOT be fired.

16) Tracer, incendiary, armor piercing, and steel bullets of any kind are strictly prohibited. Shooters caught shooting steel bullets may be banned.

17) Firing a shot on the range that results in the bullet striking anything other than the target and/or backstop, may result in a repair fine of $100 and/or your removal from the range.

18) Commands issued by Range Officers and Range Personnel must be immediately obeyed without question.

19) If the command “CEASE FIRE” is given: stop shooting immediately, remove your finger from the trigger, remove magazine, clear firearm, place firearm on the bench with action open and muzzle down range. Step back from the shooting booth and wait for further instructions from the RSO. Once line is declared “COLD” there is absolutely NO handling of firearms, unloaded or otherwise.

20) No one other than FreeState Gun Range Personnel may go forward of the firing line unless authorized or instructed to do so by the Range Safety Officer.

21) Shooters may only use FreeState Gun Range approved paper targets, placed at eye level.

22) Cross firing of targets is prohibited.

23) Only firing by aiming through firearm sights onto a target is permitted.

24) Shooters wanting to practice holster draw (strong side belt holsters only) must first be FreeState Holster Draw Certified and notify the RSO. You MUST remove the shooting table from the shooting booth, stay within the shooting booth, and keep your finger off the trigger until ready to shoot. Only strong side hip holster is permitted.

25) You may collect your own brass that is inside your stall and behind the firing line. Brass from other shooters and all brass that falls in front of the firing line may NOT be collected.

26) Always wash your hands and face immediately after shooting and/or cleaning your firearm. Sinks are located in the restrooms.

27) Pregnant and/or nursing women may NOT enter the range

28) Children accompanied by an adult must be at least 10 years old to enter the range.

29) When on the range, no more than 2 people can be on a given lane at a time.

​FAILURE TO ABIDE BY THESE RULES MAY RESULT IN A REPRIMAND OR YOUR REMOVAL FROM THE RANGE.

 

I Agree

April 27, 2024




First Participant's Name

First Name*

Last Name*

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

Middle Name *

Occupation: *

Title:

Company Name:

Email Address
First Participant's Signature*
Second Participant's Name

First Name*

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

Middle Name *

Occupation: *

Title:

Company Name:

Email Address
Third Participant's Name

First Name*

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

Middle Name *

Occupation: *

Title:

Company Name:

Email Address
Fourth Participant's Name

First Name*

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

Middle Name *

Occupation: *

Title:

Company Name:

Email Address
Fifth Participant's Name

First Name*

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

Middle Name *

Occupation: *

Title:

Company Name:

Email Address
Sixth Participant's Name

First Name*

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

Middle Name *

Occupation: *

Title:

Company Name:

Email Address
Seventh Participant's Name

First Name*

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

Middle Name *

Occupation: *

Title:

Company Name:

Email Address
Eighth Participant's Name

First Name*

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

Middle Name *

Occupation: *

Title:

Company Name:

Email Address
Ninth Participant's Name

First Name*

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

Middle Name *

Occupation: *

Title:

Company Name:

Email Address
Tenth Participant's Name

First Name*

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

Middle Name *

Occupation: *

Title:

Company Name:

Email Address
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:*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Firearm Information

Own firearm:


Caliber(s): *

Renting firearm:


Caliber: *

Model: *

Sharing firearm:


Caliber(s): *
Rate your expertise with firearms (Novice=0, Expert = 5):*
Background Information
Have you ever been adjudicated as mentally defective, been committed to a mental institution, or have a history of mental illness?*
Are you a user of or addicted to marijuana or any depressant, stimulant, narcotic drug, or any other controlled substance such as prescription drugs?*

If yes, please explain:
Have you ever been convicted of any crime punishable by more than one (1) year?*
New To Our Range?
How did you hear about us?*

If Other, please specify:
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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Middle Name *

Occupation: *

Title:

Company Name:

Email Address
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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