|WAIVER, RELEASE AND COVENANT NOT TO SUE|
|In consideration of Surgi & Surgi, Inc, DBA The Little Shop of Ordnance, herein known as
"TLSO", and all those persons and firms who liable on his behalf,
including the owner of the premises where the instruction is provided,
permitting me to attend and participate in firearms training, I, on my
own behalf and on behalf of my heirs, representatives, administrators
and assigns, hereby waive and release any and all claims, demands,
causes of action, suits and right I (or anyone on my behalf) might have
against "TLSO" or any of his agents, servants or employees, or the owner
of the premises where the instruction is provided for any personal
injury (including death), loss and damage to my property which I (or
anyone claiming by or through me) may have against him or the owner of
the premises where the instruction is provided, as a result of my
participation in firearms training.
Further, I agree that I will not, nor will anyone acting on my behalf claiming by or through me, bring or maintain any suit in court to assert any claim against "TLSO" or any of his agents, servants or employees, or the owners of the premises where the instruction is being provided for any claim that I might have arising out of my participation in firearms training.
I understand that participating in firearms training includes live-fire drills as well as non firearms activities and involves risk of personal injury or death and I voluntarily assume those risks.
I have read and understand the foregoing provisions of this waiver, release and covenant not to sue, and I have executed it voluntarily.
I recognize that "TLSO" is not obligated to permit me to participate in firearms training and that he may discontinue my participation at any time and require me to leave the course.
I am at least 21 years of age and can legally possess handguns.
However, nothing in this instrument shall preclude me from proceeding against any person, firm or corporation other than "TLSO", his agents, servants or employees, or the owners of the premises where the instruction is provided for any claims, demands, causes of action, suits and rights that I may have against such other persons, firms or the corporations. The intent of this paragraph is to allow me to obtain a money judgment against any person or entity other than those named in this paragraph.
I, the undersigned, have read the above rules and understand that the training program is a potentially hazardous activity and certain risks are involved with this program. These potential hazards include gun shot wounds or other injury and can result in paralysis, loss of vision, limb or life. I agree that participation in this activity is entirely voluntary and agree that I will not hold, The Little Shop of Ordnance, the instructors or range owner(s) liable for any accidents or injury.
I also understand that safety procedures and practice will be strictly adhered to and that I may be immediately expelled, without recourse or refund, from the program as a result of horseplay, inattentiveness, inappropriate conduct, violation of safety rules, or failure to follow the range officers's directions.
I do not have any doubt about the meaning or content of this instrument and acknowledge that I am free to consult an attorney prior to signing it.
Student’s signature ___________________________
Student’s full name_____________________________________(please print)
Witness’ signature ___________________________________
Witness’ full name _______________________________________ (please print)
Student # _____________