MEDINA-ROL - PHASE LINE DEFENSE

PHASE LINE DEFENSE

RELEASE OF LIABILITY
PHASE LINE DEFENSE, LLC
JAMES & SHELLY BANKS
PO BOX 214
VALLEY CITY, OH 44256

CLASSROOM AND RANGE LOCATION
PARMA ARMORY
5301 HAUSERMAN RD
PARMA, OH 44130
FIREARMS TRAINING APPLICATION AND RELEASE OF LIABILITY
I, THE UNDERSIGNED, HEREBY ACKNOWLEDGE THAT I HAVE VOLUNTARILY APPLIED TO ENGAGE IN THE ACTIVITY OF BASIC AND ADVANCED FIREARMS INSTRUCTION AND LIVE FIRE SHOOTING WITH PHASE LINE DEFENSE, LLC.
I UNDERSTAND THAT THE ACTIVITY OF FIREARM INSTRUCTION AND SHOOTING INVOLVES NUMEROUS RISKS, INCLUDING LOSS OF CONTROL, RICOCHET, IGNORANCE, NEGLECT, AND OBSTACLES, WHETHER OBVIOUS OR NOT OBVIOUS. I FURTHER UNDERSTAND THAT OTHERS PARTICIPATING IN FIREARM SHOOTING, IRRESPECTIVE OF THEIR TRAINING AND USUAL PAST BEHAVIOR AND CHARACTERISTICS MAY ACT OR REACT UNEXPECTEDLY OR UNPREDICTABLY AT TIMES, AND I ALSO ASSUME SUCH RISKS AND CONSEQUENCES.
AS CONSIDERATION FOR VOLUNTARILY PARTICIPATING IN FIREARM INSTRUCTION WITH PHASE LINE DEFENSE, LLC, I DO HEREBY WAIVE ANY CLAIM AND RELEASE PHASE LINE DEFENSE, LLC AND ALL OWNERS, OFFICERS, MEMBERS, AFFILIATED ORGANIZATIONS, RANGE FACILITIES, LAND OWNERS, AGENTS, AND OR EMPLOYEES FOR ANY INJURY OR DEATH CAUSED BY OR RESULTING FROM MY PARTICIPATION IN THE ACTIVITY OF FIREARM INSTRUCTION AND SHOOTING.
THE CONTRACT SHALL BE LEGALLY BINDING UPON MY ESTATE, ASSIGNS, MY PERSONAL REPRESENTATIVES, AND ME.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND THE CONCERNS. I AM AWARE THAT I AM RELEASING CERTAIN LEGAL RIGHTS THAT I OTHERWISE MAY HAVE, AND I ENTER INTO THE CONTRACT ON BEHALF OF MYSELF AND/OR MY FAMILY OF MY OWN FREE WILL.
FURTHERMORE, I AFFIRM THAT I AM 18 YEARS OF AGE OR OLDER, HAVE NOT BEEN DEEMED MENTALLY INCOMPETENT BY A LICENSED PHYSICIAN OR BY A LEGAL JUDGMENT OF A COURT OF LAW.
IN CONSIDERATION OF INTENT, I UNDERSTAND THAT THE DEPOSIT, ACCOMPANYING THIS APPLICATION AND RELEASE OF LIABILITY, IS NON-REFUNDABLE BUT GOOD FUNDS ANYTIME INSTRUCTION MAY BE OFFERED WITHIN THIRTY (30) DAYS AND ACCEPTED. I ALSO UNDERSTAND THAT THE BALANCE IS DUE IN CASH THE DATE THE CLASS IS ATTENDED.

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