Waiver
Student full name __________________________
For and in consideration of permitting Delores Adams, D.B.A. “D.A.F.A.S.T.” to engage in certain activities described as follows: Firearms Safety and Instruction, all actions or causes of action for personally injury, property damage or wrongful death occurring to himself/herself arising as a result of engaging in the activities described above or any activity incidental thereto, wherever or however it may for himself/herself, his/her heirs, executors, administrators and assigns, release waive discharge and relinquish any action or cause of action which may arise in the circumstances will he/she or his/her heirs, executors, administrators and assigns wrong death against DELORES ADAMS D.B.A. “D.A.F.A.S.T” or any agent, servants or employees of any of the persons mentioned above for any cause of action, whiter it arises by the negligence of any of the persons or otherwise.
IT IS THE INTENTION for the STUDENT BY THIS DOCUMENT TO EXEMPT AND RELIEVE DELORES ADAMS, D.B.A. “D.A.F.A.S.T” FROM LIABILITY OF PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE.
The undersigned for himself/herself, his/her heirs, executors, administrators or assigns agrees that in the event of any claim for personal injury, property damage or wrongful death that in the event any claim for personal injury, property damage or wrongful death shall be pursued, prosecuted or presented against the person or parties released by this document, he/she shall indemnify the release party or parties for all expenses including attorney’s fees and costs as well as any damages from any and all claims or causes of action by whomever or wherever made or presented for personal injuries, property damage or wrongful death.
The person signing this document acknowledges that he/she has read it and understands it. Further, the person signing this document understands that the consideration or reason that the person or parties being released agree to participate in the activities is in part the signing of this document. The person signing this document understands there are certain potential dangers incidentals to the activity mentioned in this agreement. Full opportunity has been provided to consider those risks. The persons signing this document are aware of the legal consequences of the signing.
Signature: . DATED: .
Witnessed by: . DATED: .
Please print and sign with witness signatures prior to attending the course.
