I HEREBY ACKNOWLEDGE that I have voluntarily applied to enter on to and to engage in or to observe shooting and other activities at the MIDSTATE GUN COMPANY LLC Shooting Range. I further acknowledge and understand that shooting and other activities includes any and all activities of any kind in which I engage or observe while at the RANGE.

Acknow

I ACKNOWLEDGE AND UNDERSTAND THAT SHOOTING ACTIVITIES ARE INHERENTLY HAZARDOUS and involve both known and unanticipated risks which could result in damage or destruction of property and physical or emotional injury, including paralysis or death, of myself or others. These risks include but are not limited to: being shot by or shooting myself or others; partial or total loss of eyesight or hearing; inhalation or other harmful contact with lead or other contaminants; and being struck by flying or falling objects. I understand that such risks cannot be eliminated without compromising the essential qualities of shooting activities.

Acknow

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT the nature and condition of the RANGE facilities, premises and environment is such that both known and unanticipated hazards exist which create and contribute to both known and unanticipated risks inherent in entering on to the RANGE, in using RANGE facilities and in engaging in or observing any activities of any kind whatsoever while at the RANGE. I understand that such hazards and risks cannot be eliminated without compromising the essential qualities of the RANGE facilities, equipment, premises and environment.

Acknow

I AGREE to abide by all MIDSTATE GUN COMPANY LLC Shooting RANGE rules listed in Midstate Range Rules

Acknow

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT MIDSTATE GUN COMPANY LLC has no duty to undertake first aid or rescue operations or procedures in the event any such property damage or physical or emotional injury occurs, and that any such operations or procedures may result in compounding or increasing the damages or injuries.

Acknow

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT MIDSTATE GUN COMPANY LLC makes no warranty as to the design, manufacture, maintenance, condition or fitness for any particular purpose of any RANGE facilities or equipment, including, but not limited: firearms, ammunition, eye/hearing protection, and first-aid supplies.

Acknow

As lawful consideration for being permitted by MIDSTATE GUN COMPANY LLC to enter on the RANGE, to use RANGE facilities or equipment and to engage in or observe shooting and other activities at the RANGE, I agree to the following: I AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS EXISTING ON THE RANGE AND IN ENTERING ON TO THE RANGE AND IN USING RANGE FACILITIES OR EQUIPMENT AND IN ENGAGING IN OR OBSERVING SHOOTING AND OTHER ACTIVITIES AT THE RANGE.

Acknow

I AGREE that I, my next of kin, heirs, guardians, representatives and assigns HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS MIDSTATE GUN COMPANY LLC from and against any and all claims, demands, damages, expenses, causes of action, attachments of property, or liability of any kind whatsoever, including reasonable attorney fees and costs, that I, my next of kin, heirs, guardians, representatives, or assigns, my guests. or anyone else, may have for property damages, personal injury or death, whether suffered by me. by my guests, or by anyone else, resulting from me or my guests entering on to the RANGE, using RANGE facilities or equipment. or engaging in or observing shooting and other activities at the RANGE, even if such claims, demands, damages, expenses, causes of action, attachments to property, or liability result partially or wholly from any act or acts, even any negligent act or omission to act, including negligent or omitted first aid or rescue operations or procedures, by MIDSTATE GUN COMPANY LLC.

Acknow

I ACKNOWLEDGE AND AGREE that this Agreement shall be interpreted and enforced under the laws of the State of Rhode Island, and that the venue for any action or proceeding shall be the State of Rhode Island, Kent County, without regard for the conflict of law rules of Kent County or the State of Rhode Island.

Acknow

I ACKNOWLEDGE AND AGREE that this Agreement is intended to be as broad and inclusive as permitted by law and if any provision or portion is held to be invalid, void or otherwise unenforceable, I agree and intend that the remaining provision or portions shall continue and remain in full legal force and effect.

Acknow

I ACKNOWLEDGE AND AGREE that the intent of this Agreement, as well as any signed written amendments or modifications to it shall remain in full force and effect from the date of execution and ever after and shall be applicable to each and every occasion that I or my Guests enter on to the RANGE, use RANGE facilities or equipment or engage in or observe shooting and other activities at the RANGE.

Acknow

Full Name (as in your Driver’s Licence)

Your email

Signed on (date)

Driver License Number

Isuued by
-Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Address

City

State
-Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

I have carefully read this “Acknowledgement of Risk, Release & Indemnity Agreement”. No other inducement, assurance or guarantee has been made to me in consideration of my signing this Agreement, which I sign voluntarily and of my own free will. I further acknowledge and agree that this Agreement may be amended or modified only by a writing signed by me and by an authorized agent of MIDSTATE GUN COMPANY LLC. I UNDERSTAND THAT BY SUBMITING THIS WAIVER I AM GIVING UP SUBSTANTIAL RIGHTS, THAT I AM AGREEING NOT TO SUE MIDSTATE GUN COMPANY LLC AND RELEASING AND HOLDING HARMLESS MIDSTATE GUN COMPANY LLC.
By submitting this waiver, I acknowledge that I have read and understood the terms and conditions. I affirm that the information provided is true and accurate, and I understand the legal consequences of providing false information.

Acknow

I HEREBY ACKNOWLEDGE that I have voluntarily applied to enter on to and to engage in or to observe shooting and other activities at the MIDSTATE GUN COMPANY LLC Shooting Range. I further acknowledge and understand that shooting and other activities includes any and all activities of any kind in which I engage or observe while at the RANGE.

Acknow

I ACKNOWLEDGE AND UNDERSTAND THAT SHOOTING ACTIVITIES ARE INHERENTLY HAZARDOUS and involve both known and unanticipated risks which could result in damage or destruction of property and physical or emotional injury, including paralysis or death, of myself or others. These risks include but are not limited to: being shot by or shooting myself or others; partial or total loss of eyesight or hearing; inhalation or other harmful contact with lead or other contaminants; and being struck by flying or falling objects. I understand that such risks cannot be eliminated without compromising the essential qualities of shooting activities.

Acknow

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT the nature and condition of the RANGE facilities, premises and environment is such that both known and unanticipated hazards exist which create and contribute to both known and unanticipated risks inherent in entering on to the RANGE, in using RANGE facilities and in engaging in or observing any activities of any kind whatsoever while at the RANGE. I understand that such hazards and risks cannot be eliminated without compromising the essential qualities of the RANGE facilities, equipment, premises and environment.

Acknow

I AGREE to abide by all MIDSTATE GUN COMPANY LLC Shooting RANGE rules listed in Midstate Range Rules

Acknow

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT MIDSTATE GUN COMPANY LLC has no duty to undertake first aid or rescue operations or procedures in the event any such property damage or physical or emotional injury occurs, and that any such operations or procedures may result in compounding or increasing the damages or injuries.

Acknow

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT MIDSTATE GUN COMPANY LLC makes no warranty as to the design, manufacture, maintenance, condition or fitness for any particular purpose of any RANGE facilities or equipment, including, but not limited: firearms, ammunition, eye/hearing protection, and first-aid supplies.

Acknow

As lawful consideration for being permitted by MIDSTATE GUN COMPANY LLC to enter on the RANGE, to use RANGE facilities or equipment and to engage in or observe shooting and other activities at the RANGE, I agree to the following: I AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS EXISTING ON THE RANGE AND IN ENTERING ON TO THE RANGE AND IN USING RANGE FACILITIES OR EQUIPMENT AND IN ENGAGING IN OR OBSERVING SHOOTING AND OTHER ACTIVITIES AT THE RANGE.

Acknow

I AGREE that I, my next of kin, heirs, guardians, representatives and assigns HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS MIDSTATE GUN COMPANY LLC from and against any and all claims, demands, damages, expenses, causes of action, attachments of property, or liability of any kind whatsoever, including reasonable attorney fees and costs, that I, my next of kin, heirs, guardians, representatives, or assigns, my guests. or anyone else, may have for property damages, personal injury or death, whether suffered by me. by my guests, or by anyone else, resulting from me or my guests entering on to the RANGE, using RANGE facilities or equipment. or engaging in or observing shooting and other activities at the RANGE, even if such claims, demands, damages, expenses, causes of action, attachments to property, or liability result partially or wholly from any act or acts, even any negligent act or omission to act, including negligent or omitted first aid or rescue operations or procedures, by MIDSTATE GUN COMPANY LLC.

Acknow

I ACKNOWLEDGE AND AGREE that this Agreement shall be interpreted and enforced under the laws of the State of Rhode Island, and that the venue for any action or proceeding shall be the State of Rhode Island, Kent County, without regard for the conflict of law rules of Kent County or the State of Rhode Island.

Acknow

I ACKNOWLEDGE AND AGREE that this Agreement is intended to be as broad and inclusive as permitted by law and if any provision or portion is held to be invalid, void or otherwise unenforceable, I agree and intend that the remaining provision or portions shall continue and remain in full legal force and effect.

Acknow

I ACKNOWLEDGE AND AGREE that the intent of this Agreement, as well as any signed written amendments or modifications to it shall remain in full force and effect from the date of execution and ever after and shall be applicable to each and every occasion that I or my Guests enter on to the RANGE, use RANGE facilities or equipment or engage in or observe shooting and other activities at the RANGE.

Acknow

Full Name (as in your Passport)

Your email

Signed on (date)

Passport Number

Isuued by
-Select-AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo (Congo-Brazzaville)Costa RicaCroatiaCubaCyprusCzechia (Czech Republic)Democratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (fmr. 'Swaziland')EthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea (North)Korea (South)KosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestine StatePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe

Local Address

City

State
-Select-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

I have carefully read this “Acknowledgement of Risk, Release & Indemnity Agreement”. No other inducement, assurance or guarantee has been made to me in consideration of my signing this Agreement, which I sign voluntarily and of my own free will. I further acknowledge and agree that this Agreement may be amended or modified only by a writing signed by me and by an authorized agent of MIDSTATE GUN COMPANY LLC. I UNDERSTAND THAT BY SUBMITING THIS WAIVER I AM GIVING UP SUBSTANTIAL RIGHTS, THAT I AM AGREEING NOT TO SUE MIDSTATE GUN COMPANY LLC AND RELEASING AND HOLDING HARMLESS MIDSTATE GUN COMPANY LLC.
By submitting this waiver, I acknowledge that I have read and understood the terms and conditions. I affirm that the information provided is true and accurate, and I understand the legal consequences of providing false information.

Acknow

Mid-State Gun Company, LLC

Minor Child Release of Claims and Permission Slip

This form contains a release and waiver of claims, which, when signed, contractually waives any claims against Mid-State Gun Company, LLC (hereinafter referred to as “MSG”), their staff, agents, volunteers, and partners, as well as their heirs and assigns, that may arise in connection with your minor child/ward’s participation in activities at any MSG shooting range. Please read it carefully before signing your name.

In consideration of the opportunity afforded to my minor child/ward to participate in activities at the MSG shooting range, I, the undersigned, on behalf of my child/ward named herein, freely subscribe to the following contractual obligations:

I,

on behalf of my child/ward named below, fully understand the risks associated with participation in shooting sports at MSG’s shooting range and do hereby, for my minor child/ward’s heirs, executors, and assigns, knowingly, freely, and voluntarily assume all risks and liability for any damage or injury to person or property that may occur as a result of my child/ward’s participation in activities at MSG’s shooting range.

I hereby release, discharge, and covenant not to sue MSG, their staff, agents, volunteers, and partners, and hereby waive and discharge all claims for damages that my minor child/ward or I might have against Mid-State Gun Company, LLC, their staff, agents, volunteers, and partners, and its officers, employees, agents, volunteers, heirs, and assigns for any reason, including MSG’s negligence. I further agree to indemnify and hold MSG, their staff, agents, volunteers, and partners, heirs, and assigns harmless from and against any and all claims, damages, and judgments, of whatever nature, including attorney fees, that may be asserted or entered against any of them in connection with my minor child/ward’s participation in any activity at any MSG shooting range.

NOTICE TO THE MINOR CHILD’S NATURAL GUARDIAN

READ THIS FORM COMPLETELY AND CAREFULLY. YOU ARE AGREEING TO LET YOUR MINOR CHILD ENGAGE IN A POTENTIALLY DANGEROUS ACTIVITY. YOU ARE AGREEING THAT, EVEN IF MID-STATE GUN COMPANY, LLC, THEIR STAFF, AGENTS, VOLUNTEERS, AND PARTNERS USE REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM, YOU ARE GIVING UP YOUR CHILD’S RIGHT AND YOUR RIGHT TO RECOVER FROM MID-STATE GUN COMPANY, LLC, THEIR STAFF, AGENTS, VOLUNTEERS, AND PARTNERS IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND MID-STATE GUN COMPANY, LLC, HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.

Name of Minor Child/ward:

Name of Parent/Guardian:

Child’s Date of Birth:

Parent/Guardian e-mail:

date filled in:

Please check your e-mail and print the email for notarization in the range.