To print a copy of this Waiver for submission to the club:

Click here for Word Version of Waiver of Liability

Click here for pdf version of Waiver of Liability

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RELEASE AND WAIVER OF LIABILITY AGREEMENT

I acknowledge that I voluntarily have chosen to join Middleboro Sportsmenís Club. I am aware that activities performed by members such as myself include using firearms at the shooting range and/or using firearms to hunt on Club property.

I AM AWARE THAT THESE ACTIVITIES ARE HAZARDOUS ACTIVITIES AND THAT I COULD BE SERIOUSLY INJURED OR EVEN KILLED. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH OR PROPERTY DAMAGE, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY AND ALL LIABILITY ACTIONS WHICH I MIGHT PURSUE AGAINST MIDDLEBORO SPORTSMENíS CLUB FOR ANY AND ALL BODILY INJURY OR INJURIES, DEATH OR DEATHS, OR PROPERTY DAMAGE, INCLUDING ANY AND ALL LIABILITY ACTIONS ARISING OUT OF NEGLIGENCE ON THE PART OF MIDDLEBORO SPORTSMENíS CLUB, ITS AGENTS, OFFICERS, AND/OR MEMBERS.

I verify this statement by placing my initials here:____

Parent or Guardian's initials (if under 18):__________

As consideration for being permitted by Middleboro Sportsmenís Club to become a member and to participate in the aforementioned activities, I also certify that I have read and will abide by the Bylaws and Range Rules of the club.  I forever release MIDDLEBORO SPORTSMENíS CLUB, and their respective directors, officers, employees, volunteers, agents, contractors, and representatives (collectively "Releasees") from any and all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, death, or property damage, related to (i) my participation in these activities, (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any Releasee, or (iii) the condition of the premises where these activities occur, whether or not I am then participating in the activities. I also agree that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any Releasee in connection with any of the matters covered by the foregoing release.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND MIDDLEBORO SPORTSMENíS CLUB, AND I SIGN IT OF MY OWN FREE WILL.  I also understand this release and waiver shall remain in affect while I am a member of the Middleboro Sportsmenís Club.

 

PARTICIPANT

Name (print) ______________________________________

Signature: ________________________________________

RELEASOR PARENT OR GUARDIAN

Name (print) ____________________________

Signature: _________________________________________

Address: __________________________________________

 

IF YOU ARE UNDER 18 YEARS OF AGE, YOU AND YOUR PARENT OR GUARDIAN MUST SIGN AND INITIAL THIS FORM WHERE INDICATED.

If Signed by Parent or Guardian: I verify that the dangers of the activities and the significance of this Release and Waiver were explained to the Member and that the Member understood them.