AGREEMENT, ACKNOWLEDGMENT OF RISK, RELEASE OF LIABILITY

1.  I, _______________________________________, acknowledge that I have voluntarily applied to participate in the use of firearms at the premises leased, owned or used by  Rattlesnake Ridge a D.B.A. of Citizen's Supplies Co incorporated int he state of TN.

Acknowledgment of Risk

2.  I am aware that the use of firearms is a hazardous activity. I acknowledge that my participation in firearms shooting activities and/or firearms training courses entails known and unanticipated risks which could result in physical or emotional injury, paralysis, death, or damage to property, or third parties. The risks include, among other things: shooting myself or being shot by third parties, suffering hearing loss, injury or loss of eyesight, inhalation or contact with airborne contaminants or flying debris. Furthermore, I acknowledge that RATTLESNAKE RIDGE  staff, instructors and members have difficult responsibilities to perform. I am aware that they seek safety, but they are not infallible. They might be ignorant of my fitness and abilities. They may give inadequate warnings or instructions, and the equipment being used may malfunction. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks. I expressly agree and promise to accept and assume all risks existing in this activity and verify this statement by placing my initials here:____________.

Release of Liability

3.  As consideration for being permitted by RATTLESNAKE RIDGE  or one of its affiliated individuals or organizations to participate in these activities and use their facilities, I hereby agree that I, my assignees, heirs, distributees, guardians, and legal representatives, voluntarily release from liability and forever discharge RATTLESNAKE RIDGE  or any of its affiliated individuals or organizations for any injury or damages including such injuries or damages from negligent acts, other acts, or omissions, howsoever caused by an employee, agent, or contractor of RATTLESNAKE RIDGE  Management, Incorporated or any of its affiliated individuals or organizations. I hereby release and forever discharge RATTLESNAKE RIDGE , Incorporated and any of its affiliated individuals and organizations from and all causes of action, claims, demands, or attachment of property, that I, my assignees, heirs, distributes, guardians, and legal representatives now have or may have for injury or damage resulting from my participation in this activity even if said actions, claims, demands, or attachments are a result of acts of negligence, other acts, or omissions, howsoever caused by and employee, agent, or contractor of RATTLESNAKE RIDGE  Incorporated or any of its affiliated individuals or organizations. I understand, agree with, and verify these statements by placing my initials here:_________                  

Hold Harmless

4.   I agree to indemnify and hold harmless RATTLESNAKE RIDGE  and any of its affiliated individuals and organizations from any and all actions, claims, demands, attachments, damages, expenses, harm or destruction suffered or accrued by me or anyone else which may result from my participation in the use of firearms or otherwise using the premises leased by RATTLESNAKE RIDGE  even if said actions, claims, demands, damages, harm, or destruction are due partially or wholly from negligent acts, other acts, or omissions of RATTLESNAKE RIDGE  or any of its affiliated individual or organizations.  Should RATTLESNAKE RIDGE  or any of its affiliated individuals or organization, or anyone acting on their behalf incur attorney’s fees and cost to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs. I understand, agree with, and verify these statements by placing my initials here:____________.

Financial Ability to Cover Injury or Damage

5.  I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating in this activity, or else I agree to bear the cost of such injury or damage myself. I further certify that I have no medical condition or physical condition which could interfere with my safety in these activities, or else I am willing to assume and bear the cost of all risks that may be created directly or indirectly by such a condition. I certify these statements by placing my initials here:_______________

 6.   By initialing and signing this document, I acknowledge that if anyone is injured or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against RATTLESNAKE RIDGE  and /or any of its affiliated individuals or organizations to include owners of properties leased or used by RATTLESNAKE RIDGE   on the basis of any claim from which I have released them herein.

 7.  I have carefully read this agreement and fully understand its content. I am aware that  this is a release of liability and contract between myself and RATTLESNAKE RIDGE  and its affiliated individuals and/or organizations. I sign it of my own free will and agree to be bound by its terms.

Releasor (PRINT) __________________________,(SIGN) X __________________________D ATE:____________

Witness certifies that releasor  acknowledged in my presence that Releasor had carefully read and fully understood the meaning and consequences of the foregoing release, and signed in my presence on the given date.

Witness (print) ____________________________, (sign) X ________________________DATE:____________

Releasor Address & Phone #. Member number of Witness