WHEREAS, in consideration of being permitted to use of premises, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, Undersigned agrees to the following:

Undersigned agrees to indemnify, hold harmless and defend the Chief Ouray Gun Club, and all associates of said corporation, (hereinafter referred to as "Club"), from any and all fault, liabilities, costs, expenses, claims, demands, or lawsuits arising out of, related to or connected with: Undersigned's presence at and/or participation in the Club’s range and/or events; the discharge of firearms by Undersigned; Undersigned's presence on or use of the range, building, land, and premises ("Premises"); and, any and all acts or omissions of Undersigned.

Undersigned furthermore waives for himself/herself and for his/her executors, personal representatives, administrators, assignees, heirs and next of kin any and all rights and claims for damages, losses, demands and any other actions or claims whatsoever, which he/she may have or which may arise against Club (including but not limited to the death of Undersigned and/or any and all injuries, damages or illnesses suffered by Undersigned or Undersigned's property), which may, in any way whatsoever, arise out of, be related to or be connected with: the use of Premises; the Premises, including any latent defect in the Premises; Undersigned's presence on or use of said Premises; Undersigned property (whether or not entrusted to Instructor); and the discharge of firearms. Club shall not be liable for, and Undersigned, on behalf of himself/herself and on behalf of his/her executors, personal representatives, administrators, assignees, heirs, and next of kin, hereby expressly releases the Club from any and all such claims and liabilities.

Undersigned hereby expressly assumes the risk of using firearms and taking part in the activities on the Premises, which include, but are not limited to, instruction in the use of firearms, the discharge of firearms and the firing of live ammunition.

Undersigned hereby acknowledges and agrees that Undersigned has read this instrument and understands its terms and is executing this instrument voluntarily. Undersigned furthermore hereby acknowledges and agrees that he/she has read, understands and will at all times abide by all range rules and procedures and any other rules and procedures stated by the Club.

Undersigned expressly agrees that this instrument is intended to be as broad and inclusive as permitted by law, and that if any provisions of this instrument is held invalid or otherwise unenforceable, the enforceability of the remaining provisions shall not be impaired thereby. No remedy conferred by any of the specific provisions of this instrument is intended to be exclusive of any other remedy, and each and every remedy shall be cumulative and shall be in addition to every other remedy now or hereafter existing at law or in equity or by statute or otherwise. The election of any one or more remedy hereunder by the Club shall not constitute any waiver of Club’s right to pursue other available remedies. This instrument binds Undersigned and his/her executors, personal representatives, administrators, assignees, heirs and next of kin.

I hereby state that I have not been convicted of any felony crimes or domestic violence charges and that I am entitled to own and possess a firearm. I further understand that any false information may be reason to be denied membership in this club.

I have carefully read and understand the above waiver/release and assumption of risk statement.  I hereby accept and agree to the above terms and regard this document as legal and binding.  I understand that I have given up substantial rights by signing this document and am signing the document voluntarily.  I further understand and agree to abide by the “Range Rules” and understand that failure to follow these rules may result in termination of my membership to the Club.

Signature:  _______________________________________  Date: ________________________________________

Printed name:  ___________________________________