Waiver
RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF RISK AGREEMENT
Whereas, in consideration of being permitted to attend a course for firearm instruction and the proper use of firearms, for the use of premises, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, Undersigned Student understands and agrees to the following:
Candy S. Petticord, Candy S. Petticord, LLC, Northpointe Training Instructors, Northpointe Training and Parma Armory Shooting Center are not attorneys and nothing discussed during training is meant to be construed as legal advice in any manner or jurisdiction. Undersigned Student hereby recognizes his/her obligation to understand all applicable laws and is hereby advised to consult a licensed attorney for any legal advice.
Undersigned Student is fully aware that firearm shooting, firearm training, involvement in the shooting sports, and all associated activities are inherently dangerous and can lead to injury or death and no amount of care, caution, instruction, or expertise can eliminate these risks, both known and inherent. These risks can include:
- Handling firearms and being near and around others who have firearms in their possession and are handling firearms
- Eye and/or hearing damage
- Injury from ammunition, ammunition fragments, shrapnel, target pieces, airborne items
- Inclement weather, animals, insects, and plants found in the wild
- Personal and/or property damage caused by others, flying debris, or projectiles
Undersigned Student understands the scope, nature, and extent of the risks involved in the activities contemplated by this agreement, has had the opportunity to openly discuss them with Candy S. Petticord, Candy S. Petticord, LLC, Northpointe Training, LLC Instructors, Northpointe Training, LLC, and Parma Armory Shooting Center, and freely chooses to assume any and all such risks and dangers. The activities include, but are not limited to classroom instruction, travel to and from one or more shooting ranges, range-site instruction, firearm loading, discharging, and unloading, firearm maintenance, and similar activities related to the training in and use of firearms (hereinafter collectively referred to as the ‘Activities”) and self-defense.
Undersigned Student understands that these activities require good physical conditioning and a degree of skill and knowledge necessary for them to engage in these activities safely. He/she understand that he/she have responsibilities, their participation in these activities is purely voluntary, he/she are not being forced in any way to participate, and he/she have elected to participate in these activities in spite of the risks.
Undersigned Student agrees that he/she will seek instruction from Northpointe Training, LLC Instructors and/or Range Safety Officers prior to handling any firearm with which he/she are unfamiliar.
Undersigned Student will notify Northpointe Training, LLC Instructors and/or Range Safety Officers IMMEDIATELY if he/she do not understand a range rule or procedure or if he/she feel there is a safety risk to themselves or to others.
Undersigned Student agrees to indemnify and defend, including the payment of attorneys’ fees, costs and expenses, Candy S. Petticord, Candy S. Petticord, LLC, Northpointe Training, LLC Instructors, Northpointe Training, LLC, and Parma Armory Shooting Center (hereinafter collectively referred to as 'Instructors and Training Organization'), from any and all fault, liabilities, injuries, costs, expenses, claims, demands or lawsuits arising out of, related to, or connected with the Activities and/or the Undersigned Student’s presence at any facility used by Instructors and Training Organization (hereinafter collectively referred to as the ‘Premises’) that are caused or otherwise related to the non-negligent conduct of Instructors and Training Organization.
Undersigned Student furthermore waives and releases for himself/herself and for his/her spouse, executors, personal representatives, administrators, insurers, successors, assigns, heirs and next of kin, any and all rights, injuries, losses, demands and claims which may arise against Instructors and Training Organization (including but not limited to the death of the Undersigned Student and/or any and all injuries, damages or illnesses suffered by Undersigned Student or Undersigned Student's property), which may, in any way whatsoever, arise out of, be related to or be connected with the Activities; the Premises, including any latent or other defect in the Premises; Undersigned Student's presence on or use of the Premises; Undersigned Student's property (whether or not entrusted to Instructors and Training Organization); and anything else related to any of the foregoing. Instructors and Training Organization shall not be liable for, and Undersigned Student, on behalf of himself/herself and on behalf of his/her spouse, executors, personal representatives, administrators, assignees, heirs and next of kin, hereby expressly releases the Instructors and Training Organization from any and all such claims, damages, injuries, and liabilities.
Undersigned Student understands that eye and ear protection are required at all times while on the range and while participating and/or observing all range activities. Undersigned Student understands and agrees that not wearing these items AT ALL TIMES while participating or observing any and all range activities is a clear violation of the rules of the Northpointe Training, LLC Instructors and the Northpointe Training, LLC training organization.
Undersigned Student further acknowledges by signing this instrument that he/she is not prohibited by any Federal, State, or local law or ordinance from owning, possessing, or using firearms.
Undersigned Student hereby acknowledges and agrees that he/she has read this instrument, understands its terms, and is executing this instrument voluntarily. Undersigned Student further certifies that he/she is twenty-one (21) years of age or older, states that he/she is not under the influence of alcohol, drugs, and/or any other mind-altering substance, that he/she does not use or is addicted to any unlawful controlled substances that may hinder or impede their actions in handling a firearm safely for the intended purposes of this course, that he/she is not depressed, having homicidal or suicidal thoughts, and is not planning or has not made plans to carry out an act of homicide and/or suicide, that he/she is not a convicted felon, under indictment in any court for a crime punishable by imprisonment for a term exceeding one year, is not a fugitive from justice, has not been adjudicated as a mental defective or has been committed to any mental institution, is not an illegal alien, has not been discharged from the military under dishonorable conditions, has not renounced their United States citizenship, is not subject to a court order restraining them from harassing, stalking, or threatening an intimate partner or child of an intimate partner, and has never been convicted of a misdemeanor crime of domestic violence. Undersigned Student 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 Northpointe Training, LLC Instructors and the Northpointe Training, LLC training organization. Undersigned Student also confirms and attests
Undersigned Student expressly agrees that this instrument is intended to be as broad and as inclusive as permitted by law, and that if any provision of this instrument is held invalid or otherwise unenforceable, the enforceability of the remaining provisions shall not be impaired thereby. No remedy conferred by any of the specific provisions of this instrument is intended to be exclusive of any other remedy, and each and every remedy shall be cumulative and shall be in addition to every other remedy now or hereafter existing at law or in equity or by statue or otherwise. The elections of any one or more remedy hereunder by the Instructors and Training Organization shall not constitute any waiver of Instructor's and Training Organization's right to pursue other available remedies. This instrument binds Undersigned Student and his/her spouse, executors, personal representatives, administrators, successors, assigns, heirs and next of kin.
Undersigned Student hereby authorizes the use, publication, and reproduction by Northpointe Training, LLC Instructors and the Northpointe Training, LLC training organization of the photographs, images, and/or videos taken of him/her as of the date of the signing of this document for editorial use or promotion, and hereby waive all claims arising out of such use. Undersigned Student also waives any right to inspect or approve the finished materials in which such photographs and/or videos will be used.
Printed Name: ______________________________________ Date: _______________________
Signature: ______________________________________________________________________
Parent Signature if Student Is Under Age 18: ____________________________________________
