affirm that I am 18 years of age or older:
(month and days)
ACKNOWLEDGEMENT, RELEASE AND WAIVER FOR FIREARMS TRAINING (Hereinafter
refer to as "agreement") is for the express assumption
of all risks, waivers and release from liability, including, without
limitation, for any negligence, covenant not to sue and indemnification
for all claims. This agreement also warns of the dangers of using
this training outside the confines of this training course.
(full name), for valuable consideration
and to induce permission to participate in fire arms training course
conducted by PHOBOS SOLUTIONS LLC (hereinafter "company"
and/or "PHOBOS SOLUTIONS") agrees to the following terms
and conditions and makes the following warranties:
acknowledge that firearms/weapon training is a hazardous activity
and is inherently dangerous. I am aware that this course is designed
to instruct participants on the use of deadly weapons. I am aware
that during this course I will be using live ammunition in a combat
style firearm. I am aware that other participants in this course
will be using combat style firearms and live ammunition in and around
me to participate in training. I am aware that this activity involves
dangers, risks and hazardous, including, but not limited to, DEATH,
DISMEMBERMENT, DISFIGUREMENT, PARALYSIS, GUN SHOT WOUNDS, HEARING
LOSS, PERSONAL INJURY, AND/OR DISABILITY. The risks associated with
firearms training is increased when there are multiple individuals
training with live firearms.
* I HAVE READ, UNDERSTAND, AND AGREE TO THE TERMS OF THIS SECTION
SHOULD NOT BE MISUSED
The firearms training offered by PHOBOS SOLUTIONS is designed, solely
and completely for the purpose of self-defense, self-preservation,
marksmanship, and/or other legal and permissible uses of a firearm.
By attending this course and signing this document you are agreeing
that you will not misuse this training. Any use of this training
in a manner that is not consistent with the principles of self-defense
and/or preservation is a misuse of this training. Any use of this
training that is contrary to law is also a misuse of this training.
PHOBOS SOLUTIONS specifically warns the possession, ownership, carrying,
conceal carrying and/or discharge of a firearm are strictly regulated
by federal, state, city and local laws, statutes, ordinances and/or
other regulations. Accordingly, attendees should study and know
the laws before using any firearm. PHOBOS SOLUTIONS does not offer
teaching regarding federal, state, city and local laws, statutes,
ordinance and/or other regulations about the ownership, carrying,
conceal carrying and/or discharge of a firearm.
Trainees should not presume that every exercise and/or technique
taught in the firearms training class is a legal use of a firearm
in any situation. It is the job of the participant to become familiar
enough with federal, state, city and local laws, statutes, ordinances,
and/or other regulations to ensure the proper, permissible and legal
use of their firearm.
I HAVE READ, UNDERSTAND, AND AGREE TO THE TERMS OF THIS SECTION
DOES NOT GUARANTEE SUCCESS
The training and techniques offered by PHOBOS SOLUTIONS and their
self-defense oriented firearm training courses are designed to increase
your chances of surviving a violent encounter, but does not guarantee
your survival or the survival of your loved ones. Violent encounters
are always unfortunate in the best way to survive one is to avoid
it. In the event that you find yourself in a violent encounter or
"life or death" scenario this training is merely designed
to help your survival, but PHOBOS SOLUTIONS offers no guarantee
that the participant WILL survive or emerge uninjured.
Additionally, using the techniques taught PHOBOS SOLUTIONS can lead
to the DEATH, DISMEMBERMENT, DISFIGUREMENT, PARALYSIS, GUNSHOT WOUNDS,
HEARING LOSS, PERSONAL INJURY, AND/OR DISABILITY yourself, your
loved ones, spouse, children, parents, family, friends, bystanders,
innocent people, pets, or others. The training and techniques taught
in this class are done in a supervised and controlled environment
that is designed as a shooting range. However, in the unfortunate
scenario that these tactics may be used outside of this setting
there are significant dangers including, but not limited to, firearm
malfunction, accidental discharge, engaging and appropriate target,
bullets passing through walls, doors, or other objects and striking
others, property damage, wounding bystanders, inappropriate use
of deadly force and many other dangers which could lead to the DEATH,
DISMEMBERMENT, DISFIGUREMENT, PARALYSIS, GUNSHOT WOUND, HEARING
LOSS, PERSONAL INJURY, AND/OR DISABILITY of yourself and/or others.
Use of the training and techniques taught by PHOBOS SOLUTIONS could
also lead to your detainment, arrest, conviction and/or imprisonment.
Federal, state and/or local authorities and/or Court systems are
the ultimate decision makers on whether the use of a firearm will
result in the levying of criminal charges, conviction of a crime
and term(s) of imprisonment. PHOBOS SOLUTIONS does NOT offer training,
advice, or counseling on the legal uses of a firearm, when to engage
another human, what is a life threatening situation, the legal permissible
scenarios for the use of deadly force, legal permissible use of
deadly force for the protection of others. When using your firearm,
you do so at your own risk.
AGREE NOT TO SUE PHOBOS SOLUTIONS IF I AM INJURED - FOR ANY REASONS
By this agreement, I accept full responsibility for, and fully release
Company and its members, shareholders, officers, employees, contractors,
agents, instructors, patrons, volunteers, property owner, range
owner, insurers, underwriters, and any other related or subsidiary
companies or affiliates (hereinafter "Released Parties")
from, and do fully, completely and knowingly assume the entire risk
of, any and all DEATH, DISMEMBERMENT, DISFIGUREMENT, PARALYSIS,
GUNSHOT WOUNDS, HEARING LOSS, PERSONAL INJURY, AND/OR DISABILITY
which may occur as a result the firearms training and/or hazardous
activities in which I have chosen to participate, whether sponsored
or permitted by the company or otherwise.
By this agreement I understand and agree to release, discharge,
hold harmless and absolve the Company and the Released Parties from
any and all liabilities for any DEATH, DISMEMBERMENT, DISFIGUREMENT,
PARALYSIS, GUNSHOT WOUNDS, HEARING LOSS, PERSONAL INJURY, DISABILITY
OR ANY OTHER PHYSICAL OR MENTAL INJURY and/or any other losses,
expenses, or measure of damages, including lost wages which should
occur for any reasons, including those caused by the active or passive
negligence of the Company and/or the Released Parties and waive
and relinquish any and all claims, damages, and causes of action
against Company and/or the Released Parties. I agree to not make
any demands, file any claims or suits and/or seek any measure of
damages, monetary or otherwise, against the Company or the Released
Parties for any DEATH, DISMEMBERMENT, DISFIGUREMENT, PARALYSIS,
GUNSHOT WOUNDS, HEARING LOSS, PERSONAL INJURY, AND/OR DISABILITY.
I hereby expressly agree and affirm that I will bear the burden
of any and all costs or damages incurred by reason of my DEATH,
DISMEMBERMENT, DISFIGUREMENT, PARALYSIS, GUNSHOT WOUNDS, HEARING
LOSS, PERSONAL INJURY, AND/OR DISABILITY directly or indirectly
related to the firearms training course and the associated hazardous
limiting the foregoing, I further agree:
1. That neither I or any family member or next of kin shall have
any right to make any claim against the Company and/or the Released
Parties for injuries or damages sustained as a result of, or arising
from, my participation in firearms training with the Company.
2. That I forever the Company and the Released Parties for any and
all injuries, disfigurement, or physical harm, that I may sustain
due to direct or indirect participation in the firearms training
course and the associated hazardous activities.
3. That I will indemnify and hold harmless the Company and the Released
Parties from and against any and all claims, damages, and/or liabilities
that I might claim or that may be claimed by any third party or
person arising out of the firearms training course and the associated
hazardous activities, even if the Company or the Released Parties
I UNDERSTAND THAT THIS SECTION OF ACKNOWLEDGEMENT, RELEASE AND WAIVER
FOR FIREARMS TRAINING MEANS THAT I AGREE NOT TO SUE PHOBOS SOLUTIONS
GROUP OR THE RELEASED PARTIES IF I AM INJURED OR KILLED DURING THIS
COURSE AND/OR INSTRUCTION AND/OR IF I SUSTAIN DAMAGES OR INJURIES
(MENTAL OR PHYSICAL) FOR ANY REASON. I UNDERSTAND THAT THIS ACTIVITY
HAS THE RISK OF INJURY AND THAT BY PARTICIPATING IN THE COURSE I
AGREE TO BEAR THE FULL RISK OF THE ACTIVITY.
TERMS AND AGREEMENT
This agreement shall be binding upon heirs, next of kin, family,
relatives, guardians, conservators, executors, administrators, trustees,
This agreement shall be governed by the laws of the State of Louisiana.
If any section, paragraph, sentence, phrase, clause or word of this
ACKNOWLEDGEMENT, RELEASE AND WAIVER FOR FIREARM TRAINING is for
any reason held to be invalid or unenforceable by any court of competent
jurisdiction, such decision shall affect the validity of the remaining
provisions of this contract.
or electronic signatures, are legally binding for every business
or personal transaction in the United States and complies with the
definition of an electronic signature under the Electronic Signatures
in Global and National Commerce (ESIGN) Act and the Uniform Electronic
Transactions Act (UETA).
HAVE READ AND UNDERSTAND THIS AGREEMENT AND HAVE BEEN GIVEN THE
CHANCE TO ASK QUESTIONS
I certify and acknowledge that I have completely read and UNDERSTAND
this ACKNOWLEDGEMENT, RELEASE AND WAIVER FOR FIREARMS TRAINING and
its terms. Prior to signing this ACKNOWLEDGEMENT, RELEASE AND WAIVER
FOR FIREARMS TRAINING I have had the opportunity to ask any questions
I desired about the firearms training course, the hazardous activities
associated there with and the terms of this ACKNOWLEDGEMENT, RELEASE
AND WAIVER FOR FIREARMS TRAINING.
am fully and completely aware of the meaning, intent and consequences
of signing this ACKNOWLEDGEMENT, RELEASE AND WAIVER FOR FIREARMS
TRAINING and I hereby knowingly do so willingly, voluntarily and
of my own free will
(full name), Date Signed:
(month, day, year)
AND VIDEO RELEASE
I agree that my image, whether photographed or videoed during any
PHOBOS SOLUTIONS courses I am participation in, can be used by PHOBOS
SOLUTIONS as PHOBOS SOLUTIONS deems appropriate, including use in
promotional materials, websites and social networking sites.
PERSONAL INFORMATION: (fill out in full)
(month, day, year)
review all information above. Be sure you
have filled out the form in its entirety.
Once you are done, please press "SUBMIT FORM" - If you
need to make changes, use the "RESET FORM" button before