Women’s Pistol Training Class (August 14th)

Please fill out the registration form below after registering to get into our class

Training Registration and Appendix A Release Form

Step 1 of 2

50%

• Precision Firearms Training

• Name*
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• Address*
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  In case of Emergency contact:

• Name*
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  ______________________________________________________________________________________________________________________

• By signing this application, I understand and agree to the following:

  1. PFT depends upon the careful control of firearms by each student; therefore, I understand my instruction may be terminated at any time during the class if the staff deems my cooperation and behavior unsatisfactory. There will be NO REFUND.

  2. Instruction given by PFT is for the sole purpose of instruction for the students attending the class ONLY. We assume NO liability for any student attending a class who uses any information obtained in the class to instruct others.

  3. I will abide meticulously by any and all safety procedures of Precision Firearms Training.

  4. The undersigned hereby agrees to all terms and conditions set forth in Appendix A. A copy of which is attached hereto and incorporated herein.

• Signature
• Date
  Date Format: MM slash DD slash YYYY

• IF under the age of 21:

• Signature of Parent or Guardian
• Date
  Date Format: MM slash DD slash YYYY

• Payment: Please Zelle @(951) 741-5326 or Venmo @Robert-Gwaltney-2, or CC

  If you have any questions, feel free to contact me at (951) 741-5326 (call or text), wellarmedglockgirl@gmail.com

• APPENDIX A RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF RISK AGREEMENT

• WHEREAS, in return for instruction in firearms, use of premises, and for good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Undersigned agrees to the following: The undersigned agrees to indemnify, hold harmless, and defend Jean Gwaltney DBA Precision Firearms Training and any of the property owners, Jim Riley DBA Riley’s Farm, 12261 Oak Glen RD, Yucaipa CA 92399 and heirs, the assigned firearms instructors, staff, directors, officers, employees or agents(hereinafter PFT) from any and all fault, liabilities, cost, expenses, claims, demands or lawsuits, arising out of, related to or connected with: the discharge of firearms, 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 presence on or the use of said premises; and any and all acts of 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 PFT from any and all costs, expenses, or liability including, but not limited to, the cost of any settlement or judgement made or rendered against PFT whether individually or jointly with the Undersigned, together with all costs of court and other costs or expenses incurred in connection with any such claim, demand, lawsuit, including attorneys’ 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 PFT (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 the use of said Premises; the Undersigned's property (whether or not entrusted to PFT) and, the discharge of firearms. PFT shall not be liable for, and the Undersigned agrees, on behalf of himself/herself and his/her executors, administrators, assignees or heirs, hereby expressly releases PFT from any and all such claims.

• The Undersigned hereby expressly assumes the risk of entering the Premises and of taking part in 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 PFT range rules and procedures.

  This instrument binds the Undersigned and his/her executors, administrators, assignees or heirs. UNDERSIGNED: If Undersigned is under 21, parent or guardian must also sign.

• Signature
• Signature of Parent or Guardian
• Name
  First Last
• Name
  First Last
• Date
  Date Format: MM slash DD slash YYYY
• Date
  Date Format: MM slash DD slash YYYY

• Note: Signing this form is voluntary. Participation in the training program is dependent on signing this form.

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