MPA-GA PRS Registration June 18, 2022

MPA-GA PRS Regional at Cool Acres Registration June 18, 2022
PRS Registration *
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PRS Member Number
Division *

Open Tactical Production Gas Gun
Catagories

Lady Military(must be active) Junior(18 and under only) Senior(55yrs and older) Law Enforcement
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Participants Name *

First Name Last Name
Parent/Guardian Name (if Minor)

First Name Last Name
Address *

Street Address

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Phone Number *

Area Code Phone Number
E-mail *

Name of Emergency Contact *

First Name Last Name
Phone Number Of Emergency Contact *

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

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Date *

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Date

2022 Cool Acres Sporting Camp Waiver/Release of Liability

Please Read Carefully Before Signing
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. *
DIGITAL FORM SUBMISSION IS ACCEPTANCE OF TERMS OF SERVICE

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MPA-GA PRS Regional at Cool Acres Registration June 18, 2022

2022 Cool Acres Sporting Camp Waiver/Release of Liability

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