Congratulations, your payment has been completed!To save time, please complete this required form for your upcoming class:RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, & ASSUMPTION OF THE RISK AGREEMENT – HAZARDOUS / DANGEROUS ACTIVITY.Class waiver Agreement I, the undersigned, in consideration for the opportunity to participate in firearms training held at my appointed location and date and conducted by my designated CPL instructor I do, on behalf of myself, my heirs, successors, assigns, and anyone acting for me, hereby forever release, waive, discharge, and covenant not to sue instructor(s), range safety officers, real property owner(s), their respective heirs, assigns, lessees, affiliates, trusts, agents, assistants, volunteers, organizations, representatives, officers, employees, employers, subcontractors, or affiliates from liability for any and all claims for any injury (including death) or property loss or damage, including from negligence or gross negligence, willful or wanton conduct, or recklessness, of any party, to include any future claims of faulty or negligent instruction. Assumption of the Risk: I understand that certain dangers and risks may arise from my participation in the hazardous activities of shooting firearms and being in the vicinity of others who are shooting, including, but not limited to, gunshot wounds, lacerations, contusions, burns, falls, insect bites, insect-borne diseases, broken bones, hearing damage, lead exposure, and death. I understand and accept these risks and will be responsible for my own safety and well- being. I hereby assert that my participation is voluntary and that I knowingly assume all risks, including all risks involved with handling, carrying, and shooting firearms in the future for any purpose whatsoever. Indemnification and Hold Harmless: I agree to indemnify and hold harmless all of the released parties listed above from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including actual attorney’s fees, brought as a result of my participation and to reimburse them for any such expenses incurred. Representations: I state, represent, and attest that I am NOT: 1. Pregnant or nursing. 2. Under the influence of any medication, drug, or substance which might impair coordination or judgment. 3. A convicted felon or domestic violence misdemeanor. 4. An illegal alien. 5. Otherwise prohibited by law from possessing firearms. 16. Diagnosed with a serious mental illness or any mental or physical condition which would prevent me from handling and operating firearms safely, or which may be aggravated or exacerbated by this activity. 7. Under the age of 18. Furthermore, I agree to fully comply with rules, regulations, and safety instructions whether posted on the premises, or communicated to me in writing or verbally. I understand that I may call an immediate “cease fire” if I observe any unsafe activity or condition. I agree to immediately stop shooting and ask for assistance/instruction if, at any time, I am unsure about how to operate the firearm I am using, including target selection. Severability: The undersigned further expressly agrees that the foregoing waiver, assumption of risk, and indemnification agreement is intended to be as broad and inclusive as is permitted by the law of the state of Michigan, and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Acknowledgement of Understanding: I have read this waiver of liability, assumption of risk and indemnity agreement, understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing this agreement freely and voluntarily, and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. Identification I have produced the following form of identification AND CERTIFY THAT THE INFORMATION ON IT IS CORRECT. First Name * Last Name * Email * Class Location * Class Date * Driver’s License # * Today's Date Signature * Clear By signing you agree to all of the above terms Submit If you are human, leave this field blank.