BWCC Indemnity / Liability Form Anyone using the Big Walnut Conservation Club Inc. (hereinafter “BWCC”) property or facilities must read the BWCC Range Safety Rules and read and complete this Release and Indemnity Agreement prior to use. All information supplied will be kept strictly confidential and not distributed or made available to others for any purpose, except as required by law. The required information is for the sole use by BWCC to properly identify the user and record the user’s agreement to release claims and indemnify and hold BWCC and its officers, trustees, members, staff, volunteers, and employees harmless for any accidents caused, in whole or part, by the user. First Name *Last Name *Phone Email *Previous Experience with Rifle *Not Interested in ShootingNo Experience in ShootingNoviceIntermediateExpertPrevious Experience with Pistol *Not Interested in ShootingNo Experience in ShootingNoviceIntermediateExpertPrevious Experience with Shotgun *Not Interested in ShootingNo Experience in ShootingNoviceIntermediateExpertPrevious Experience with Archery *Not Interested in ArcheryNo Experience in ArcheryNoviceIntermediateExpertAdult parent/guardian consent of youth under age 18 years, for shooting activities at BWCC. NAMES: Liability and Indemnity In consideration of being permitted to enter for any purpose the BWCC property or facilities, and/or being permitted to shoot and/or observe any activity on the BWCC property, I, the undersigned, on behalf of myself, my heirs, successors, and assigns: 1. To the fullest extent of the law, hereby waive, release, and forever discharge BWCC, its trustees, members, staff, volunteers and employees (the “Releasees”) from all liability to the undersigned for all loss or damage and any claims or demands on the account of any injury to person or property, including death. 2. To the fullest extent of the law, hereby agree to indemnify and hold harmless the Release’s from any loss, liability, damage, or cost that they may incur due to the presence of the undersigned in or upon the premises for any purpose, to the extent such loss, liability, damage, or cost is caused by the undersigned. The undersigned expressly acknowledges and agrees that the shooting activities of the BWCC are inherently dangerous and involve the risk of serious injury and/or death and/or property damage. These risks include but are not limited to: potentially fatal injury from the use or malfunction of firearms and/or archery equipment by the Undersigned or by others; partial or total loss of eyesight or hearing; inhalation or other harmful contact with lead or other contaminants; being struck by flying or falling objects; slippery, loose or falling soil and rocks; unimproved, unmaintained, or uneven terrain; slippery or icy walkways, steps, shooting platforms, and roads. The undersigned further expressly agrees that the foregoing release and indemnity agreement is intended to be as broad and inclusive as is permitted by the laws of the State of Ohio and that if any portion thereof is held invalid, it is agreed that the balance shall continue in full legal force and effect. The undersigned agrees to be financially responsible for any act of destruction to the range equipment, beyond normal wear and tear. The undersigned has read and agrees to abide by the BWCC Range Safety Rules. The undersigned has read and voluntarily signs this release and indemnity agreement and further states and agrees that no oral representations, statements, or inducements apart from this written agreement have been made. I HAVE READ THIS DOCUMENT AND UNDERSTAND THAT IT IS A RELEASE OF CLAIMS. I ASSUME ALL RISK INHERENT IN SHOOTING. I VOLUNTARILY SIGN MY NAME EVIDENCING MY ACCEPTANCE OF THIS AGREEMENT. Signature - Use the Mouse to Write Participant Signature Date Clear and Reset FormCommentSubmit Form