928 E. Contour
Life: $1,621.88*;--Senior Life:
$810.94*;--Basic/Renewal: $162.19*
(*Includes Tax)
First Name:
Last Name:
Birthday:
Spouse Name:
Street Address:
City:
State:
Zip:
E-mail:
Home Phone:
Cell Phone:
Business Phone:
ACTIVITIES YOU WOULD
LIKE TO PARTICIPATE IN: (CHECK ALL
THAT APPLY)
Registered Skeet
Shoots:
Fun Shoots:
Weekly Skeet Shoots:
Volunteer Committees:
Registered Trap
Shoots:
Dove Hunter League:
5-Stand Events:
Junior Program:
Ladies League:
Pot Luck Dinners:
May we list you in
our club directory?
Yes or No
I have read and
understand the Waiver and Release Agreement on the reverse of this application
and I understand that membership is contingent on board approval.
__________________________________________________________________
Signature of Member
-----------------------------------------------------Club
Use-----------------------------------------------------------------
Date of Application:
Amount Collected:
Type of Payment:
Date Database Updated:
Employees Initials:
Date E-mail Database Updated:
***WAIVER AND RELEASE
AGREEMENT***
Please read carefully before signing.
This is a Release of Liability and waiver of certain legal rights.
In consideration for my being permitted to participate in the activities of SAN ANTONIO GUN CLUB. (SAGC)
I agree to the following Waiver and Release.
I acknowledge that clay target shooting has inherent risks, hazards and dangers for anyone that cannot be eliminated. I UNDERSTAND THAT THESE RISKS, HAZARDS AND DANGERS INCLUDE BUT ARE NOT LIMITED TO:
1. The risk of handling firearms and being near others that have firearms in their possession.
2. The risk of ear damage from noise.
3. The risk of eye damage.
4. The risk of injury and/or damage to my property from ammunition, clay targets, clay target pieces, and shot from other guns.
5. Walking in rugged country, including encounters with wildlife, animals and insects.
6. Inclement weather conditions.
7.
Risk of injury from animals on premises
including but not limited to other shooters pets.
EYE
AND EAR PROTECTION IS REQUIRED AT ALL TIMES AT
I understand the risks, hazards, and dangers as described above and have had the opportunity to discuss them with the manager of SAGC. I understand that these activities may require good physical condition and a degree of skill and knowledge. I believe that I have good physical conditioning and degree of skill and knowledge for me to engage in these activities safely. I understand that I HAVE RESPONSIBILITIES. My participation in this activity is purely VOLUNTARY. I AM VOLUNTARILY USING THE SERVICES OF SAGC WITH FULL KNOWLEDGE OF THE INHERENT RISKS, HAZARDS AND DANGERS INVOLVED AND HEREBY ASSUME AND ACCEPT ANY & ALL RISKS OF INJURY, PARALYSIS OR DEATH.
Last, I, for myself, my heirs, successors, and executors, and subrogates, hereby and KNOWINGLY AND INTENTIONALLY WAIVE AND RELEASE, INDEMNIFY AND HOLD HARMLESS SAGC STAFF PERSONALLY, SAGC AND ALL OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS from and against claims, actions, causes of action, liabilities, suits and expenses (including reasonable attorney's fees) which are related to, arise out of, or are in any way connected with any participation in any activity including, but not limited to, NEGLIGENCE of any kind in nature, whether foreseen or unforeseen, arising directly or indirectly out of any damage, loss, injury, paralysis, or death to me or my property as SERVICES, ANIMALS or EQUIPMENT, whether such damage, loss, injury, paralysis, or death is a result of negligence of SAGC AND COURSE DESIGNS or from some other cause. I, for myself, my heirs, my successors, executors and subrogates, further agree not to sue SAGC, ANY OFFICERS OR DIRECTORS, AGENTS, EMPLOYEES OR VOLUNTEERS as a result of any injury, paralysis or death suffered in connections with my use and participation in any activity connected with SAGC, OWNED AND OPERATED BY CITY OF SAN ANTONIO.