Guest Waiver Program / Print .pdf form from link above

Guest Waiver Form

Columbus Rifle Club, Inc

Columbus, Nebraska

PLEASE READ CAREFULLY BEFORE YOU SIGN

 

I ( please print your full name) _______________________________________ hereby certify and warrant that I am proficient in the use, safe handling and operation of any firearm that I intent to shoot upon the premises of the Columbus Rifle Club, that there is no prohibition of law which would prevent me from using such firearm(s) and that such firearm(s) is (are) in a safe condition and without defects. I further warrant and certify that I am fully familiar with the rules of the safe use of firearms and fully abide and adhere to such rules.

 

I recognize that the Columbus Rifle Club is under no obligation to grant to me the use of its premises and that it will rely upon the truth and accuracy of my above statements. I further acknowledge that I am at liberty to use the premises of any number of other firearms shooting facilities other that the Columbus Rifle Club, and that I freely and without reservation agree to the terms and conditions of this agreement and release.

 

I AM AWARE THAT THESE ACTIVITIES ARE HAZARDOUS ACTIVITIES AND THAT I COULD BE SERIOUSLY INJURED OR EVEN KILLED. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH, OR PROPERTY DAMAGE, WHETHER THOSE RISK ARE KNOWN OR UNKNOWN. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY AND ALL LIABILITY ACTIONS WHICH I MIGHT PURSUE AGAINST COLUMBUS RIFLE CLUB, INC., FOR ANY AND ALL BODILY INJURY OR INJURIES, DEATH OR DEATHS, OR PROPERTY DAMAGE, INCLUDING ANY AND ALL LIABILITY ACTIONS ARISING OUT OF NEGLIGENCE ON THE PART OF THE COLUMBUS RIFLE CLUB, INC., ITS AGENTS, OFFICERS, AND/OR MEMBERS.

 

As consideration for being permitted by The Columbus Rifle Club, Inc. to participate in the aforementioned activities, I forever release the Columbus Rifle Club, Inc., and their respective directors, officers, employees, volunteers, agents contractors, and representatives (collectively “Releasees”) from any and all actions, claims, or demands that I , my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, death, or property damage, related to (i) my participation in these activities, (ii) the negligence of other acts, whether directly connected to these activities or not, and however caused, by any Releasee, or (iii) the condition of the premises where these activities occur, whether or not I am then participating in the activities. I also agree that I , my assignees, heirs, distributees, guardians, next of kin, spouse and legal representative will not make a claim against, sue, or attach the property of any Releasee in connection with any of the matters covered by the foregoing release.

 

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND COLUMBUS RIFLE CLUB, INC., AND I ACCEPT IT OF MY OWN FREE WILL. I also understand this release and waiver shall remain in effect while I am a member or guest of the Columbus Rifle Club, Inc.

 

I acknowledge that my use of the facilities of the Columbus Rifle Club is a license only, and not a right. I shall abide by all rules, regulations, and direction of the Columbus Rifle Club and its range officer(s). I further acknowledge that any infraction by me of such rules, regulations and directions may result in my immediate expulsion from the premises of the Columbus Rifle Club.

 

It is my intention that this release and agreement shall be as broad and inclusive as provided by Nebraska Law. In the event that any part hereof is held to be invalid by any court, it is my intention and direction that the remainer of all other provision hereof by fully enforced for the benefit of the Columbus Rifle Club.

 

I further execute this release as legal guardian and parent of my minor child(ren) under the age of 18, named.

 

______________________________________________           _________________________________________________

 

______________________________________________           _________________________________________________

 

I have read and fully understand the foregoing release and agreement and freely agree to the terms and conditions thereof.

 

________________________________________________                           ______________________________

APPLICANT SIGNATURE                                                                         Date

 

________________________________________________                           ______________________________

WITNESS SIGNATURE                                                                              Date