Slingshot Shooting Waiver

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

The Undersigned hereby acknowledges and agrees to have voluntarily opted to use the shooting range and facilities operated by RVA Catapults and Mone Waller. The Undersigned represents that he/she is physically able, emotionally stable, and fully competent to participate in slingshot & archery shooting activities and that he/she freely, knowingly, and voluntarily assumes the risks of participating in such activities, including the risks of property damage, bodily harm, and death.

Initials*

In addition, the Undersigned does for himself/herself, and on behalf of his/her heirs, executors, and administrators, hereby releases, acquits, indemnifies, and holds harmless RVA Catapults and its heirs, executors, administrators, owners, partners, and all other related persons, entities, affiliates, predecessors, and successors, from any and all claims, actions in law or equity, causes of actions, demands, rights, damages, costs, loss of services, expenses, and compensation whatsoever arising from any damage to property, injury to person, or death, (whether predicated upon negligence or otherwise) in connection with the use of RVA Catapults shooting range and facilities or participation in any activities therein.

Initials*

The Undersigned takes full legal and financial responsibility for any damage or harm to himself/herself, and to his/her minor guests, if any, and for damages or harm to other individuals on the premises, or other range equipment that is a result of the actions of the Undersigned and/or his/her minor guests.

The Undersigned acknowledges that all firearms are restricted on this range

Initials*

By signing this instrument, the Undersigned affirms that he/she has read, understands, and will comply with the requirements as set forth herein, and does hereby agree to defend, indemnify, and hold RVA Catapults, its shareholders, officers, managers, assigns, heirs, or employees harmless from any act or omission for which the Undersigned and/or his/her minor guests is/are directly or indirectly responsible. This instrument binds the Undersigned and his/her executors, administrators, assignees or heirs.

Signature

Date

If the Undersigned brings a guest who is UNDER 18 (a Minor), please complete the following Authorization for Minor to use facility with Adult/Guardian present:

I, (Adult/Guardian) blanks of (Minor) blank give my written consent for the named individual to participate in the shooting of slingshots and archery at the facilities operated by RVA Catapults and Mone Waller. I agree to enforce all shooting range rules, policies and directives with the Minor and to supervise and monitor all activities of the Minor while on the shooting range/facilities, and to release, acquit, indemnify and hold harmless RVA Catapults and its shareholders, officers, managers, heirs, or employees for any harm to, or resulting from the activities of the Minor while at the facilities operated by RVA Catapults and Mone Waller.

Signature

Date