Range Safety Release Form

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   TIFFIN SENECA COUNTY IZAAK WALTON LEAGUE OF AMERICA SHOOTING RANGE RELEASE

 FORM  FOR THE YEAR OF    “­­__2018______”

    In consideration of being permitted to participate in the competition and shooting program of the

TIFFIN SENECA COUNTY IZAAK WALTON LEAGUE OF AMERICA (hereinafter referred to as the “range”)

I do hereby release and discharge the Range, it’s owners, officers, members and/or agents from all claims,

 demands, actions, judgments and/or executions which I may have or acquire or subsequently claim to have

 against the forgoing of any and/ or all personal injuries, damages and/or looses I sustain which arise out of,

or are in connection with, that event or its related activities including general use of the range when no activates are scheduled.

     Also, I do hereby agree not to maintain any action against the range, its owners, officers, members

and/or agents for the personal injuries, damages and /or losses I sustain to which arise out of, or are in

connection with that event or its related activities.

     I do hereby affirm my agreement to the above conditions and statements in part and whole concerning

my participation in the competition and/or program(s) of the RANGE.

      Furthermore, I do hereby concede to and fully understand the risks, dangers and/or condition,

implied or real, surrounding and/or concerning that event or its related activities.