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Club Membership Application | ||||||||
| Middle Tennessee Shooters Club | |||||||||
| P.O. Box 741 | |||||||||
| Tullahoma, TN 37388 | |||||||||
| Year | |||||||||
| Name | |||||||||
| Address | |||||||||
| City | State | Zip | |||||||
| Day Phone | Night Phone | ||||||||
| NRA # (required) | Birth date (M/D/Y) | ||||||||
| Emergency Contact | |||||||||
| Name | |||||||||
| Day Phone | Night Phone | ||||||||
| Availability to work Matches (one required) | |||||||||
| □ | Southern Regional (May) | ||||||||
| □ | Summer Sizzler (August) | ||||||||
| □ | Tennessee State (October) | ||||||||
| References (one club member required) | |||||||||
| Name | |||||||||
| Name | |||||||||
| ---------------------------------------------------------------------------------------- | |||||||||
| Waiver, Release and Covenant Not to Sue | |||||||||
| ----------------------------------------------------------------------------------------- | |||||||||
| In consideration of the MIDDLE TENNESSEE SHOOTERS CLUB, INC., a | |||||||||
| Tennessee corporation hereafter referred to as the MTSC, permitting me to engage in | |||||||||
| firearms shooting activities of the MTSC wherever the same are held, I, on my own behalf | |||||||||
| and on behalf of my heirs, representatives, administrators and assigns, hereby waive and | |||||||||
| release any and all claims, demands, causes of action, suits and rights I, or anyone on my | |||||||||
| behalf, might have against the MTSC, its officers and/or directors for personal injury | |||||||||
| (including death), loss or damage to my property which I (or anyone claiming by or | |||||||||
| through me) may have against the MTSC, its officers and/or directors, as a result of my | |||||||||
| taking part in the firearms shooting activities sponsored by, sanctioned by or approved by | |||||||||
| the MTSC, its officers and/or directors. | |||||||||
| Further, I agree that I will not, nor will anyone acting on my behalf claiming by or | |||||||||
| through me, bring or maintain any suit in Court to assert any claim against the MTSC, its | |||||||||
| officers and/or directors, for any claim that I might have arising out of my participation in | |||||||||
| any activities sponsored by, sanctioned by or approved by the MTSC, its officers and/or | |||||||||
| directors. | |||||||||
| I UNDERSTAND THAT ENGAGING IN FIREARMS SHOOTING | |||||||||
| ACTIVITIES CONSTITUTES MY INVOLVEMENT IN A VERY HAZARDOUS AND | |||||||||
| DANGEROUS ACTIVITY WITH ACCOMPANYING RISKS OF PERSONAL | |||||||||
| INJURY OR DEATH AND LOSS OR DAMAGE TO PERSONAL PROPERTY, AND I | |||||||||
| HEREBY VOLUNTARILY ASSUME THOSE RISKS. | |||||||||
| MY SIGNATURE ON THIS DOCUMENT CERTIFIES THAT I AM AT | |||||||||
| LEAST 21 YEARS OF AGE AND THAT I MAY LEGALLY POSSESS FIREARMS | |||||||||
| AND THAT I WILL NOT USE ANY SKILL I LEARN WHILE PARTICIPATING IN | |||||||||
| THE AFOREMENTIONED EVENTS FOR ANY ILLEGAL ACTIVITY. | |||||||||
| I have read and understand the foregoing provisions of this Waiver, Release and | |||||||||
| Covenant Not to Sue and I have executed this instrument voluntarily on this date. | |||||||||
| I recognize that the MTSC, its officers and/or directors are not obligated to permit | |||||||||
| me to participate in any of the MTSC s activities and may terminate my participation in | |||||||||
| such activities at any time and for any reason. | |||||||||
| The effect of this instrument shall not preclude the prosecution of any claim that I | |||||||||
| might have against persons or corporations other than the MIDDLE TENNESSEE | |||||||||
| SHOOTERS CLUB, INC., its officers and/or directors. In other words, I am releasing, | |||||||||
| waiving my rights and agreeing not to sue the MIDDLE TENNESSEE SHOOTERS | |||||||||
| CLUB, INC., its officers and/or directors. | |||||||||
| This instrument shall remain in full force and effect indefinitely. | |||||||||
| Signed____________________________________________Dated_________________ | |||||||||
| Print name____________________________Witness_____________________________ | |||||||||