Republic Shooting Range



AIRSOFT waiver (Airsoft only)*READ BEFORE SIGNING*RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, ANDINDEMNITY AGREEMENT (“AGREEMENT”)This waiver/release of liability is only good for air soft and must be signed in addition to the Republic Shooting Range, LLC waiver/release of liability.In consideration of participating in the SPORT OF AIR SOFT I represent, that I understand the nature of the activity and that I am qualified, in good health, and in proper physical condition to participate in such activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participating in the activity.I fully understand and acknowledge that; (a) risks and dangers exist in my use of air soft equipment and my participation air soft activities; (b) my participation in such activities and/or use of such equipment may result in my injury or illness including but not limited to bodily injury, disease strains, fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death or other ailments that could cause serious disability; (c) by my participation in these activities and/or use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the owners, agents, officers, employees, volunteers of Republic Shooting Range, LLC and/or Swearingen Enterprises, LLC, or by any other person. I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify Republic Shooting Range, LLC and/or Swearingen Enterprises, LLC and it’s owners, agents, officers, employees and volunteers from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of air soft equipment or my participation in air soft activities. I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the owners, agents, officers, employees or volunteers of Republic Shooting Range, LLC and/or Swearingen Enterprises, LLC. RULESI fully understand and agree that I will not bring ANY live ammunition and/or firearms inside of the designated air soft areas. I give my consent to be physically inspected by Republic Shooting Range, LLC staff, volunteers and/or referees to check for any live firearms or ammunition prior to entering the air soft shoot house facility or air soft open terrain field.I agree to follow all posted signage, verbal commands and additional rules given by Republic Shooting Range, LLC staff and/or referees. I understand that it is my responsibility to call a ceasefire and/or stop the activity if I see an unsafe situation.I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT. I have also read the set of rules associated with air soft and fully understand that Republic Shooting Range, LLC reserves the right to change or modify any rule or waiver at any time and that it is my responsibility to know and adhere to updated rules and/or waivers which will be posted in the range house. I understand that I have given up substantial rights by signing this legal document and have signed it freely and without any inducement and assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extent allowed by law._________________________________________ Date Signed: _____________________________Printed Name of Participant_________________________________________ Date of Birth: ____________________________Signature of Participant PARENTAL CONSENT (Required for participants under the age of 18)AND I, the minor’s parent and/or legal guardian, understand the nature of the above referenced activities and the minor’s experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releases from all liability, claims, demands, losses, or damages on the minor’s account caused or alleged to have been caused in whole or in part by the negligence of the releases or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claim against any of the above Releases, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releases from any litigation expenses, attorney fees, loss liability, damage, or cost any Release may incur as the result of any such claim.ANY PLAYER UNDER THE AGE OF 18 MUST WEAR A FULL FACE MASK_________________________________________ _______________________________Printed Name of Parent/Guardian Date Signed_________________________________________ _____________________________________Signature of Parent/Guardian Emergency Phone #Printed Name of Minor Participant/s __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________List any other emergency contacts__________________________________________ ____________________________________________________________________________________ __________________________________________NamesPhone Numbers ................
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