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DELRAY SHOOTING CENTER
1505 Poinsettia Dr. • Delray Beach, FL 33444

WAIVER OF LIABILITY

NOTE: READ THIS BEFORE YOU SIGN BELOW.

YOU MUST READ, UNDERSTAND & SIGN THIS WAIVER BEFORE YOU WILL BE ACCEPTED ON THESE PREMISES AND BEFORE YOU WILL BE ALLOWED ON THE GUN RANGE. PARENT OR LEGAL GUARDIAN MUST SIGN FOR ALL MINORS, AND MINORS MUST BE SUPERVISED BY PARENT OR GUARDIAN AT ALL TIMES.

The undersigned, by execution (signing) this card, does hereby release, relieve & exonerate DELRAY SHOOTING CENTER and / or all of its agents, servants, employees, directors, officers, stockholders, independent contractors or proprietors from any and all liability and responsibility for any personal injury to the undersigned while in, on or upon the premises of DELRAY SHOOTING CENTER; except only such personal injury or damages which are caused by the willfull acts or gross negligence of said DELRAY SHOOTING CENTER and / or any and all of its agents, servants, employees, directors, officers, stockholders, independent contractors o r proprietors.

Therefore the undersigned does hereby waive his / her rights to sue and / or collect damages from DELRAY SHOOTING CENTER and / or any and all of its agents, servants, employees, directors, officers, stockholders, independent contractors or proprietors due to their negligence.

The undersigned understands that shooting firearms is a dangerous sport, a n d can include injury or death it proper satety procedures are not followed. The undersigned represents (he / she) has read all range rules. The undersigned hereby acknowledges (he / she) is fully aware of and familiar with the safe operation and manner of operation of any firearm rented.

* I have read and understand Delray Shooting Center range rules. I also agree to pay for any property damaged and / or personal injury to others done on range.

Today's Date: April 2, 2026

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First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
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First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
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Participant's Date of Birth*
Date of Birth
Third Participant's Name
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Participant's Date of Birth*
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Fourth Participant's Name
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Participant's Date of Birth*
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Fifth Participant's Name
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Participant's Date of Birth*
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Sixth Participant's Name
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Participant's Date of Birth*
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Seventh Participant's Name
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Participant's Date of Birth*
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Eighth Participant's Name
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Participant's Date of Birth*
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Tenth Participant's Name
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Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
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Parent or Guardian's Driver's License / ID Card
Driver's License / ID Card Number*
Issuing State*
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.


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*
Relationship*
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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