Firing Range Waiver

Captures every customer's signature on arrival at the shooting facility, confirming they understand the risks and the safety rules. It includes an emergency contact, declared medical conditions and express acceptance of the house regulations.

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Full Name

Nombre

Apellido

Email Address

Phone Number

Date of Birth

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Emergency Contact Name

Nombre

Apellido

Emergency Contact Phone Number

Have you ever used a firing range before?

Yes, frequently Yes, a few times No, this is my first time

Do you have any medical conditions that may affect your ability to use the range safely?

Please read and agree to the following safety rules:*

I will follow all range commands I will keep the firearm pointed downrange at all times I will wear eye and ear protection at all times I will keep my finger off the trigger until ready to shoot I am not under the influence of alcohol or drugs

By signing this waiver, I acknowledge and agree to the following:*

I assume all risks of the activity I release the facility and its staff from liability I am physically fit to participate The information I provided is accurate I will follow the facility rules

Signature*

Sign here

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