Firearm Safety Certificate is available after class if needed.
A test will be conducted. ($25 DOJ Fee)
I will take the test. (18 and up)
I hereby state that I am not a convicted felon, or forbidden by law to own, possess, train or operate firearms, and that I am 18 years of age or over. (Parent or guardian must sign on behalf of participants under the age of 18.)
The Undersigned agrees to indemnify, hold harmless and defend NRA Certified Instructor, Edmund Tan, Shoot Safe Learning, and any of its employees, directors, officers or agents (hereinafter "Shoot Safe"), from any and all fault, liabilities, costs, expenses, claims, demands or lawsuits arising out of, related to or connected with: the discharge of firearms; weapons training; the course of instruction; the Undersigned 's participation in the course of instruction; the range, buildings, land and premises used for the course of instruction (hereinafter the "Premises"); the Undersigned's presence on or use of said Premises; and any and all acts or omissions of the Undersigned. And should any such claim, demand or lawsuit arise or be asserted in any way whatsoever related thereto, whether arising under the laws of the United States or of any State, or under any theory of law or equity, the Undersigned will indemnify, hold harmless and defend Shoot Safe, from any and all costs, expenses or liability including, but not limited to, the cost of any settlement or judgment made or rendered against Shoot Safe, whether individually, jointly, or in solido with the Undersigned, together with all costs of court and other costs or expenses incurred in connection with any such claim, demand or lawsuit, including attorney's fees.
The Undersigned furthermore waives for himself/herself and his/her executors, administrators, assignees or heirs, any and all rights and claims for damages, losses, demands and any other actions whatsoever, which he/she may have or which may arise against Shoot Safe, (including, but not limited to any and all injuries, damages or illnesses suffered by the Undersigned or the Undersigned's property), which may, in any way whatsoever, arise out of, be related to or be connected with: the course of instruction; the Premises, including any latent defect in the Premises; the Undersigned's presence on or use of said Premises; the Undersigned's property (whether or not entrusted to Shoot Safe); and the discharge of firearms. Shoot Safe shall not be liable for, and the Undersigned, on behalf of himself/herself and his/her executors, administrators, assignees or heirs, hereby expressly releases Shoot Safe from any and all such claims and liabilities.
The Undersigned hereby expressly assumes the risk of taking part in the course for instruction in firearms/weapons and taking part in the activities on the Premises, which include, but are not limited to, instruction in the use of firearms, the discharge of firearms and the firing of live ammunition.
The Undersigned furthermore hereby acknowledges and agrees that he/she has read, understands and will at all times abide by all range rules and procedures and any other rules and procedures stated by Shoot Safe. This instrument binds the Undersigned and his/her executors, administrators, assignees or heirs.
The Undersinged shall be physically, mentally and emotionally fit and not be under the influence of any substance, including, but not limited to, narcotics, alcohol, prescription drugs and medications that may limit his/her judgement or ability to perform unimpaired during the class.
The Undersigned grants Shoot Safe permission to use videotape recordings and/or photographs, including security footage and surveilance recording of the Undersigned in connection with the course activity in any manner or form for any lawful purpose.
Any discussion, statement and reference to the law, law enforcement, personal protection, self defense, use of lethal force, civil and criminal litigation is not and shall not be considered as a legal advice.
I signify that I have answered the form truthfully and acknowledge and agree to the terms and conditions set by this agreement.
By clicking this check box, I signify that I have answered the form truthfully and agree to the terms and conditions set by this form.