Liability Waiver
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ALWAYS WEAR EAR AND EYE PROTECTION WHILE IN THE RANGE.
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NO SMOKING, eating or drinking while in the Range.
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Consumption of Alcohol or Drugs prior to, or while at the Range, is STRICTLY PROHIBITED & Illegal.
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You must follow all Range Officer commands AT ALL TIMES.
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Always report unsafe or suspicious behavior.
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There are no pregnant women allowed in the range due to risk of lead exposure.
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No children under Age 8 will be permitted in the range. All minors MUST be accompanied by a guardian AT ALL TIMES.
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Minors can be accompanied by nonrelatives when written letter is on file from parent / guardian.
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Never go forward of the firing line at any time, for any reason! Find a Range Officer to assist you with any dropped items.
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No more than two people in a firing lane at any time. Only one person can shoot at any given time.
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Do not change firing lanes.
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You must always be attentive to the Range!
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You agree to keep the facility free from unnecessary wear and tear, nuisance, or garbage while at the Range.
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All NFA Items must be approved before entering the range.
As a Member/Guest at Windham Indoor Shooting Range & Retail Store
_______1. Fully understand and appreciate the dangers, hazards, and risks inherent in a firing range, including the inherent risks associated with the use and misuse of firearms.
_______ 2. Acknowledge and understand that I will be voluntarily engaging in activities that involve the discharging of firearms which may result in the risk of serious injury, scarring, loss of an important bodily function, permanent disability, or death, and may cause severe social or economic losses due to not only my own actions, inaction or negligence, but also to the action, inaction or negligence of others or conditions of the premises or of any equipment used. Further, I acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time.
_______ 3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability, or death.
_______ 4. Release from, waive and discharge all actions, claims, or demands that I, my assignee, heirs, guardians, and legal representatives now have or hereafter have for damage or losses on account of injury, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligence or other acts of Windham Indoor Shooting Range & Retail Store., and its shareholders, directors, officers, employees or agents, as a result of my participation in any gun-related activities. I hereby agree and covenant to save and hold harmless, indemnify, and defend any claim against Windham Indoor Shooting Range & Retail Store, and its shareholders, directors, officers, employees or agents, as a result of my participation in any gun-related activities. I hereby agree and covenant to save and hold harmless, indemnify, and defend any claim against Windham Indoor Shooting Range & Retail Store., and its shareholders, directors, officers, employees or agents, arising out of my use of the firing range.
_______ 5. I understand that if I have been convicted, imprisoned, dishonorably discharge from the armed forces or prohibited from possessing a firearm I will not be allowed into the range.
_______ 6. {Parents of minors only] Agree (if a Parent(s) or legal guardian(s) of minor participants (age 17 and below)) to instruct the minor participant to the above warnings and conditions and their ramifications, and consent to the minor’s participation. Parent(s) also acknowledge the exemption of IC 35-47-10-1 safety course or an adult who is supervising the child during the course. (2) A child engaging in practice in using a firearm for target shooting at an established range or in an area where the discharge of a firearm is not prohibited or supervised by: (A) a qualified firearms instructor; or (B) an adult who is supervising the child while the child is at the range. I HAVE CAREFULLY READ THE ABOVE WAIVER AND RELEASE OF LIABILITY AND FULLY UNDERSTAND THAT I GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT AND I DO SIGN IT VOLUNTARILY. I AGREE TO PARTICIPATE KNOWING THE RISKS AND CONDITIONS INVOLVED AND DO SO ENTIRELY OF MY OWN FREE WILL. I ACKNOWLEDGE RECEIVING A COPY OF THE RULES AND REGULATIONS OF THE FIRING RANGE AND AGREE TO ABIDE BY THEM.
(Please Print Clearly) Membership # ___________________
Last Name: ____________________ First Name: ____________________ Middle Initial: _____ DOB: ______________
Address: _________________________________ City/Town: ___________________ State: __________ Zip: _________
PH#: (_____) ____________________ Email: _______________________________________________________________
Emergency Contact: _____________________________________________________________________________________
(Name) (Address) (Phone #) (Relationship)
Driver’s License #:____________________________________ State: ________________________