Cynthia Yaacoub

WAIVER AND ASSUMPTION OF RISK

WAIVER AND ASSUMPTION OF RISK

WAIVER AND ASSUMPTION OF RISK

By reading this Waiver I acknowledge my desire to participate in firearm training offered
by Instructor Cynthia Yaacoub, and acknowledge and agree as follows:
1. I acknowledge that risks exist in the use of firearms and in my participation in
firearm training, and that such risks could result in physical injury, paralysis,
death or damage to my person or property or to that of third-parties.
2. I certify that I am aware that there are significant dangers and risks associated
with the use of a firearm and participating in activities at a gun range and/or a
class of this type.
3. I expressly agree to accept all risks existing in firearm training and acknowledge
that my participation is purely voluntary and that I elect to participate in spite of
the risks. I hereby voluntarily release and agree to indemnify and hold harmless
the Instructor Cynthia Yaacoub and the shooting club, its instructors, officers,
officials and any and all course or event sponsors, and any and all persons
involved in organizing and conducting training or events, for any injury or damage
which might be incurred during the course of such training or events. I also agree
and understand that I and my family or other dependents waive all current and
future rights to sue, or collect damages from, the above organization and/or
individuals involved as a result of any injury which might be incurred at such an
event. 
4. I agree to be personally responsible for my own safety and to immediately follow
all instructions given by the instructor/s.
5. I acknowledge and agree that the instructor/s may at any time make a
determination related to my actions and safety, and should I fail to correct my
actions after being warned, that they may use their own discretion and determine
whether or not I may continue with the instruction. Upon any such discontinuation
of my participation, I understand that I may be required to leave a facility
immediately and may not be entitled to a refund of training fees.
6. I understand all requirements for the training and agree that if at any time I am
not or believe that I am not physically or mentally capable of completing the
demands and/or functions of the training that I will immediately advise the
instructor/s and may be required to stop participating in the training.
7. I agree to use my best efforts to keep the training area safe and to immediately
notify an instructor of any potentially unsafe aspect of the training area, including
the unsafe behavior of other participants.
8. I certify that I am not a fugitive from justice or under indictment and have not
been convicted of a felony, misdemeanor or any crime, that I am not drug or
alcohol dependent or under adjudication of mental incompetence, and that I have
not been convicted for domestic violence.
9. Finally, I acknowledge that I have read and fully understand this waiver of
liability, agreement to hold harmless and assumption of risk, and that I have also
read and understand, and will comply with, all of the range safety rules and
procedures governing courses and events.

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