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Legal Guardian Consent Form

Children under the age of 18 must be accompanied by a parent or guardian at all times; under the age of 15 are not allowed to shoot machine guns; under the age of 10 are not allowed in the range. Exceptions can be approved by Range Marshall or a member of CORC management.

Waiver

Child Name

Guardian Name

Legal Guardian Primary Phone Number

I am the guardian of the aforementioned child and do hereby swear that I am solely responsible for the behavior and well-being of myself and the child listed on this form. I agree that I, and any child listed on this form, will never be careless and/or negligent with any bow, axe, or firearm. The term “bow” as used in this document, or on any signage on CORC property, applies to any item that discharges an arrow or bolt under power from a string, cable, or drawstring (including, but not limited to, recurve bows, compound bows, longbows, and crossbows). The term “axe” as used in this document, or on any signage on CORC property, applies to any item that is thrown at a target including but not limited to an axe, hatchet, tomahawk, knife, spike, or throwing star. The term “firearm” as used in this document, or on any signage on CORC property, applies to any item that discharges a projectile from a barrel when a trigger is pulled (including air guns).

I, and any child listed on this form, will abide by and obey all rules pertaining to use the range, all signs posted on the range, and will abide by the commands of the safety officer(s) while utilizing the facility. I also swear and/or affirm that I and my survivors, dependents or heirs agree to hold harmless and indemnify any employee, assistant, contractor, proprietor, owner, co-owner, manager, associate or possessor of the land and/or facilities, or any other employee in any capacity of Cut Off Range Complex, LLC for any harm, injury, death, or property damage sustained or endured while utilizing the CORC facilities occurred as a result of, but not limited to, my and/or my children’s or guest’s negligent or unsafe actions, personal equipment, any act of nature, or any unforeseeable event, chain of events or incident, or actions of any agent of the facility. I attest that any bows, arrows, firearms, ammunition, and other personal equipment provided by me or my guest(s) for use on the range are safe and reliable.

I agree and understand that if I, or any child listed on this form, violate any CORC rules, regulations, or guidelines that my privilege to use the range may be temporarily suspended or permanently revoked, and I also agree that if I have provided any false statement or information, that my privileges will be immediately revoked with the complete and total forfeiture of any dues or fees paid to Cut Off Range Complex, LLC.

I acknowledge that any activity within Cut Off Range Complex, LLC may be monitored and recorded by video, photo, or audio means and authorize CORC to use any photographs, video, or audio recording taken while on CORC property.

CORC reserves the right to eject any person for reasonable cause or make changes to range rules at any time.

By signing this Liability and Indemnity Waiver, I am stating that I have read the entire document and that I agree to the requirements, rules, terms, and conditions regarding use of the Cut Off Range Complex located at 14968 LA-3235, Cut Off, La. 70345

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November 23, 2021 5:36 pm CST

Legal Guardian Consent Form Uploaded by Kenny Bossetta - corc@class3creative.com IP 107.217.80.74