RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF RISK AGREEMENT

 

You will need to sign this agreement electronically & Print out a copy to sign and bring to your class.

 

Whereas, in consideration of being permitted to attend a course for instruction in firearms, for the use of premises, and for other good and valuable consideration the receipt and sufficiency of which is hereby acknowledged, Undersigned agrees to the following:

 

    To hold harmless and defend Andrea Durhal, Hidden Pistol Firearm Academy, Attorneys, and any NRA Certified Instructor (hereafter referred to as "INSTRUCTOR"), from an and all fault, liabilities, costs, expenses, claims, demands, or lawsuits arising out of, or related to, or connected with:  Undersigned's presence on or use of the range, buildings, land and premises; and, any and all acts or omissions of Undersigned.

 

    Undersigned furthermore waives for himself/herself and for his/her executors, personal representatives, administrators, assignees, heirs and next of kin, any and all rights and claims for damages, losses, demands and any other actions or claims whatsoever, which he/she may have or which may arise against Instructor (including, but not limited to, death of Undersigned) which may, in any way whatsoever, arise out of, be related to, or be connected with:  the course of instruction; the premises, including any latent defect in the Premises; Undersigned's presence on or use of said Premises; Undersigned's property and, the discharge of firearms.

 

    Undersigned hereby expressly assumes the risk of taking part in the course for instruction in firearms and taking part in the activities on the Premises, which include but are not limited to, instruction in the use of firearms, the discharge of firearms and the firing of live ammunition.

 

    Undersigned hereby acknowledges and agrees that Undersigned has read this instrument and understands its terms and is executing this instrument voluntarily.  Undersigned furthermore hereby acknowledges and agrees that he/she has read, understands, and will at all times abide by all range rules and procedures and any other rules and procedures stated by the Instructor.

 

    Undersigned expressly agrees that this instrument is intended to be as broad and inclusive as permitted by law, and if any provision of this instrument held invalid or otherwise unenforceable, the enforceability of the remaining provisions shall not be impaired thereby.  This instrument binds Undersigned and his/her executors, personal representatives, administrators, assignees, heirs, and next of kin.

 

Undersigned:

 

Fields marked (*) are required

Email From:*

E-Signature:*

Witness:

Date:*

Created by Contact Form Generator