Waiver
Shannon’s Garden Gallery, LLC
www.ShannonPable.com
Scpable@gmail.com
678-361-5163
Please read, initial, and sign this waiver prior to training.
1. I, _____________________________________________, hereby agree to release and hold harmless Shannon Pable, on behalf of myself, acting agents representing both real or personal property, heirs, next of kin, assigns, personal representative and estate and acknowledge each Article as follows:
2. I acknowledge the risks and dangers that exist in my use of any and all firearms and assume the risks. (Initials)_______
3. Participation in this activity is purely voluntary, and I elect to participate in full knowledge of the risks. I hereby voluntarily release Shannon Pable (discharge) and agree to indemnify and hold harmless from any and all claims which are related to my participation in this activity. (Initials)_______
4. I agree to be personally responsible for my own safety and to follow all instructions given by Instructor. I may choose NOT to participate in any activity with which I am uncomfortable. I acknowledge that the Instructor may, at any time, make a judgment call as to safety, conduct, or unsportsmanship-like manner. If I fail to correct my actions after being warned, the instructor may use their own discretion to determine whether I may continue with the course. (Initials)_______
5. I agree when arriving or departing range property, I must keep the firearm(s) unloaded and cased. (Initials)_______
6. I consent to having my photograph taken while participating at classes/events. These pictures may be displayed online or in printed promotional materials (without identification by name). I understand I may opt out. (Initials)_______ NOTE: We like to take a happy class photo at the end of class; if you’d rather not be in it, just don’t initial this item.
7. I specifically release the shooting range owner/operator, the class instructor, all individuals participating in the administration of the event/class instruction, and the Officers and Directors of the shooting range from any and all claims or liability related to these events/class instructions. (Initials)_______
8. I certify that I am not a fugitive from justice, or under indictment. I have not been convicted of a felony, misdemeanor, or any crime. I am not drug or alcohol dependent; I am not under adjudication of mental incompetence; I have not been convicted for domestic violence. (Initials)_______
__________________________________________ ______________________
(Participant’s Signature) (Date)
__________________________________________
(Participant’s Printed Name)