Youth Group Liability Waiver - Rowdy's Range and Shooter Supply

What youth group are you coming to the Range with? *

Date of youth group shooting activity *

Shooter Information

Name *

Date of Birth *

Parent/Guardian Information

First *

Last *

Email *

Address *

Apt, suite, etc.

Country

City

State

Zip code

Emergency Contact Phone Number *

By signing below, I affirm the following:

My child is able to lawfully use a firearm.
My child is mentally fit to handle, possess and use firearms and I am not aware of any condition that would prevent them from handling a firearm safely.
My child is responsible for my own acts, including but not limited to carelessness, ignorance, negligence, willful and wanton conduct, gross negligence and strict liability offenses both in tort and criminal actions.
I have reviewed with my child and we understand the Range Standards Use Agreement , which is incorporated herein as a specific condition of my use of the Range.
I am not aware of any medical condition that would impede my child’s ability to handle firearms safely. If My child does have a medical condition, I have obtained approval from my doctor for them to engage in shooting sports.

Signature

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