2022 Cool Acres Sporting Camp Waiver

Participant Name*

First NameLast Name

Parent/Guardian Name (if minor)

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

The undersigned, a participant and/or the parent/guardian of the participant, agree and understand that Competition Rifle Shooting is a HAZARDOUS activity. I recognize that there are risks inherent in the sport of rifle shooting including but not limited to, serious injuries and death.

The participant, participants heirs, personal representatives, and next of kin, hereby agrees to indemnify and hold harmless forever COOL ACRES SPORTING CAMP, Inc., Eric Allread, members of the Eric Allread family, their Heirs, Successors, their Camp team, Volunteers, instructors, directors, officers, agents, and employees against any liability resulting from any injury that may occur to the participant while participating or observing at the shooting range.

The participant, participants heirs, personal representatives, and next of kin, hereby agrees to indemnify and hold harmless forever COOL ACRES SPORTING CAMP, Inc., Eric Allread, members of the Eric Allread family, their Heirs, Successors, their Camp team, Volunteers, instructors, directors, officers, agents, and employees for any damages incurred arising from any claims, demands, actions or cause of action by the participant.

The participant, participants heirs, personal representatives, and next of kin, hereby agrees to indemnify and hold harmless forever COOL ACRES SPORTING CAMP, Inc., Eric Allread, members of the Eric Allread family, their Heirs, Successors, their Camp team, Volunteers, instructors, directors, officers, agents, and employees for any damages resulting from recklessness, carelessness, and negligence and agree to assume all responsibility for my participation or observation at the shooting range.

The participant authorizes any representative of Cool Acres Sporting Camp, Inc. to have the participant treated in any medical emergency during his or her participation in activities at Cool Acres Sporting Camp, Inc. Further, the participant and/or guardian agrees to pay all cost associated with medical care and transportation for the participant.

I also acknowledge that I understand the rules of gun safety and range safety. I also acknowledge that I am able to hear and understand the range commands, and I am physically able to participate in the event at the range.

I HAVE CAREFULLY READ THE ABOVE LIABILITY RELEASE AND SIGN IT WITH FULL KNOWLEDGE OF IT CONTENTS AND SIGNIFICANCE.

If you do not understand English Commands or are in need of an assistant due to physical limitations, Please list Name of assistant/interpreter and in need of assistance with

List name and with what assistance

DIGITAL FORM SUBMISSION IS ACCEPTANCE OF TERMS OF SERVICE

*** I understand that this electronic signature will serve as my legal signature.***

Name of Emergency Contact*

First NameLast Name

Phone Number of Emergency Contact*

Area CodePhone Number

Date*

Date

To sign this form: on touch screen device use finger and sign with finger in box below. On desktop device click and drag mouse to sign your name in box below.

Signature*

I give Cool Acres Sporting Camp, Inc. permission to publish photos of me in brochures and/or web.*

YesNo

2022 Cool Acres Sporting Camp...Waiver/Release of Liability