RFGC - Participant Assumption of Risk, Release and Identification Sheet
THIS FORM MUST BE READ, SIGNED AND IDENTIFICATION PROVIDED BEFORE ANY PUBLIC
SHOOTER WILL BE ALLOWED THE USE OF THE RANGES AND FACILITIES OF THE RENTON FISH
& GAME CLUB, INC.. THIS IS A CONTRACT. READ CAREFULLY BEFORE SIGNING.
1. I understand and acknowledge that the activity I am about to engage in as a participant at the Renton Fish &
Game Club, Inc., bears certain known risks and unanticipated risks which could result in physical and/or psychological injury to me or another participant or my death or death of another participant.
2. Being aware that such risks exist, I agree to assume and hereby do assume all responsibility and risks of any injury and/or death to myself or third persons which may arise out of my participation in this activity.
I VOLUNTARILY AND FREELY ASSUME ALL SUCH RISKS.
3. In CONSIDERATION for being permitted entry to and use of the premises and facilities of the Renton Fish &
Game Club, Inc., I hereby agree and release as follows: I hereby voluntarily release, discharge and agree to hold harmless
the Renton Fish & Game Club, Inc. and its directors, officers, members, employees, and agents hereinafter referred to as the
Club, from any and all liability, claims, demands, or actions which are in any way related to or arise out of my participation in
this activity. This release and discharge of liability specifically includes liability based on any negligent acts and/or omissions of
the Renton Fish & Game Club, Inc., its directors, officers, members, or employees. This release and discharge of liability specifically includes liability based on any act or omission, whether non-negligent, negligent, or intentional, of any person not a director, officer, member or employee of the Renton Fish & Game Club, Inc. I further agree to indemnify the Renton Fish &
Game Club, Inc., and its directors, officers, members, or employees from all attorneys fees and legal cost which are incurred as
a result of any legal action which arises out of my participation in this activity.
4. By signing this document, I understand that if I or anyone else is hurt and/or killed, as a result of participation in this activity, I
will have no right to recover any damages in a lawsuit or other legal proceeding against the Renton Fish & Game Club, Inc., its
directors, officers, members, or employees even if they have negligently caused the injury and/or death. In addition, I will be required to pay all attorneys fees and costs incurred by the Renton Fish & Game Club, Inc., its directors, officers, members. Or
employees if a lawsuit is brought against them as a result of my participation in this activity.
I have read the above four numbered paragraphs and agree to be legally bound by their terms. I have read and understand the posted Safety Rules and Range Procedures and agree to abide by them and instructions received from the Renton Fish & Game Club, Inc., and its employees. I state that I am legally qualified to be in possession of firearms under all
federal, state and local laws, and that I am not a convicted felon nor do I have any felony or misdemeanor warrants at this
time.
______________________________________________________________________ on _________________________
(Signature of Participant)
(Date)
PRINT NAME________________________________________________ DRIVER LIC#_______________________________
ADDRESS______________________________________________________________________________________________
CITY_________________________________________________ STATE___________ ZIP______________________
PHONE NUMBER(__________) __________ — _______________
FOR PUBLIC SHOOTERS OF MINORITY AGE (UNDER 18)
This is to certify that I, as parent or guardian of the above named minor, do consent to his/her release of the Renton Fish &
Game Club, Inc., its officers, directors, members, employees and agents from any and all liabilities incident to his/her presence
on or use of these premises and facilities.
____________________________________________________
(Parent or Guardian Signature)
___________________________________________
(Date)
____________________________________________________
(Print Name)
___________________________________________
(Relationship)
7-2007 Release Form Page 1
Shooter’s Safety Awareness Checklist
Please read and initial the following safety rules to indicate your understanding and compliance. Do not initial
any safety rule until any question you have concerning that rule has been answered to your satisfaction.
UNIVERSAL RULES OF SAFE GUN HANDLING:
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Treat all guns as though they were always loaded.
Never point the muzzle at anything you are not willing to shoot.
Keep your finger off the trigger until your sights are on the target.
Be sure of your target and the backstop behind it.
GENERAL RANGE RULES:
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EYE & EAR PROTECTION: Must be worn by ALL persons (shooters & spectators) while
on any of the ranges. See the Range Master if you need some.
FIREARMS: No concealed firearms are allowed on R. F. & G. property. All firearms must be
unloaded when entering R. F. & G. property.
CHILDREN: Children must be supervised by their parents at all times. The range staff is not
responsible for their supervision.
DRUGS & ALCOHOL: Persons under the influence of drugs or alcohol will be denied the use
of the range.
PREGNANT WOMEN: Are not allowed to use the ranges owing to the high risk to the
unborn child from concussion and lead emissions.
LEAD HAZARDS: To minimize possible exposure to lead particulates: No smoking, drinking
from open containers, eating, chewing tobacco, applying cosmetics while on the range. (Use our
break room. We recommend washing hands and face in cold water after shooting.)
MEMBER SAFETY OFFICERS: R. F. & G. uses member safety officers for your safety.
They have the same authority as the rangemaster.
BE SAFETY CONSCIOUS: At all times be conscious of what you and others around you are
doing, and report any unsafe situations to the rangemaster immediately.
SHOTGUN RANGE RULES:
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FIREARMS: All firearms when uncased must have their actions open and be pointed in a safe
direction AT ALL TIMES.
SHOOTING: Controlled, aimed fire ONLY. No hip shooting with any firearm at anytime.
Shotguns must have a shoulder stock. Firearms MUST remain unloaded until it’s the shooters
turn to call for a target.
AMMUNTION: Trap shooters will load only ONE shell in their gun at a time. Continental and
Skeet shooters may load no more that TWO shells. Maximum shot size allowed is 7.5.
WHILE ON THE SHOOTING LINE: When changing stations all firearms must be empty of
shells, and shooters must walk behind other shooters. Keep your finger off the trigger until
ready to shoot. In the event of a misfire ALWAYS check your barrel for obstructions.
CLEAN UP: Shooters may pick up their empty hulls ONLY after the round is finished.
RIFLE AND PISTOL RANGE RULES:
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FIREARMS: All unbagged, uncased or unholstered guns must be kept forward of the red line.
Uncase and case, with muzzle pointed down range, on your shooting bench.
SHOOTING: Controlled, aimed fire ONLY. No hip shooting with any firearm at anytime.
Shoot only at the paper targets attached to target frames and mounted on the designated target
line. No armor piercing or tracer ammunition is allowed.
RIFLE RANGE: No more than ONE round will be loaded at a time in any rifle or clip/
magazine. No rimfire (.22 or .17) rifles on the rifle range w/o the Rangemaster’s permission.
PISTOL RANGE: No quick-draw shooting is permitted. No speed shooting. No pistols in
holsters. Keep off all dirt banks and berms.
7-2007 Release Form Page 2