1. I hereby voluntarily, discharge, waiver and relinquish all actions or causes of action for personal injury, property damages or wrongful death occurring to the undersigned arising as a result of engaging in or being present at activities at the Adair Ranges' High-power Rifle, 1,000 Yard Range.

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2. Hereby covenants not to sue and voluntarily releases, waivers, discharges and relinquishes any action or causes of action, aforesaid, which may hereafter arise for himself/herself and for his/her heirs, executors, administrators and assigns prosecute or present any claim for personal injury, property damage or wrongful death against the High Power Rifle and Pistol Club of Yuma, Inc. of said causes of action, whether the same shall arise by negligence of any said persons or otherwise. 

IT IS THE INTENTION OF THE UNDERSIGNED BY THIS INSTRUMENT, TO EXEMPT AND RELIEVE THE HIGH POWER RIFLE AND PISTOL CLUB OF YUMA, INC. OR ANY OF ITS OFFICERS, MEMBERS, AGENTS, SERVANTS OR EMPLOYEES; INCLUDING VOLUNTEERS, FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE.             Initial on line when read

3. Agrees that the foregoing release is intended to be a broad and inclusive as permitted by the laws applicable and that any portion thereof is held invalid, is in that balance shall, notwithstanding, continue in full legal force and effect.               Initial on line when read

4. Acknowledges that the undersigned has been fully and completely advised of the potential for serious accident incidental to engaging in firearms activities, including the potential for death, personal injury and property damage, and expressly agrees to assume all risks of loss, damage or injury that may be sustained by the undersigned. 

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5. This agreement shall remain in effect until December 31, 2020 and cancels all previous agreements.             Initial on line when read

6. The undersigned has read the foregoing paragraphs and voluntarily signs this agreement being fully aware of the legal consequences of signing the within instrument.

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I certify the above listed information is correct. I further certify that I can legally participate in the shooting sports as defined in Federal Laws, and I have not been convicted of a felony misdemeanor which as a result of conviction precludes me from the ownership, transfer, and use of firearms or ammunition. I further agree to obey all rules and regulations, when if violated, may possibly result in arrest and conviction in Federal Court. Any misrepresentation may result in disbarment for a period of up to five (5) years.

DATE:                                   PRINT NAME:                                                                                                                                                                                                                  (PARTICIPANT/GUARDIAN)