Contract Agreement Form


Camp Sumter Gun Club

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P.O. Box 47 - 1295 Stubbs Road - Andersonville, GA 31711


APPLICATION FOR MEMBERSHIP

*If NO, you must complete the "LAW ENFORCEMENT VERIFICATION" contract HERE print it out and have it signed by a law enforcement officer and returned by U.S. Mail before approval for membership.

CSSSA, INC. d/b/a CAMP SUMTER GUN CLUB MEMBERSHIP AGREEMENT AND WAIVER OF LIABILITY INDEMNIFICATION, AND COVENANT NOT TO SUE AGREEMENT

NOTICE: THIS IS A LEGALLY BINDING AGREEMENT. BY SIGNING THIS AGREEMENT, YOU GIVE UP YOUR RIGHT TO BRING A COURT ACTION TO RECOVER COMPENSATION OR OBTAIN ANY OTHER REMEDY FOR INJURIES TO YOURSELF OR YOUR PROPERTY ARISING OUT OF YOUR USE OF CAMP SUMTER SPORT SHOOTING ASSOCIATION NOW OR ANY TIME IN THE FUTURE.

I, the undersigned user, hereby acknowledge and agree that target and competition shooting, the use of firearms and the use of the Camp Sumter Sport Shooting Association facilities located in Macon County, Georgia (“CSSSA”) may be dangerous and may involve the risk of serious bodily injury. I have full knowledge of the nature and extent of all of the risks associated with the use of the CSSSA facilities, including, but not limited to: (1) all manner of injury, including, but not limited to death and/or paralysis, arising from target shooting, the use of firearms or their discharge; (2) injuries resulting from intentional or inadvertent discharge of firearms by myself or others using the CSSSA facilities, including loss of hearing, burns, blindness, or other injury; (3) injuries resulting from explosions, contact with projectiles and hardware; and (4) failure or misuse of any equipment, whether owned and maintained by CSSSA or otherwise. I have been encouraged to use vision and hearing protection at all times when present on the facilities of CSSSA. If I choose not to use such protection, I agree to assume the additional risks associated with lack of their use. I acknowledge that the above list is not inclusive of all the possible risks associated with my use of CSSSA and that the above list in no way limits the extent of this Waiver of Liability/Indemnification Agreement and Covenant Not to Sue.

In consideration of my use of CSSSA, I agree to release and, on behalf of myself, my heirs, representatives, executors, administrators and assigns (the “Releasors”), HEREBY DO RELEASE CSSSA, its owners, shareholders, officers, directors, employees and agents (the “CSSSA Releasees”) from any cause of action, claim, or demand of any nature whatsoever (except for their gross negligence or willful misconduct) which the Releasors may now have or have in the future against the CSSSA Releasees on account of personal injury, property damage, death or accident of any kind, arising out of or in any way related to my use of CSSSA, whether that use is supervised or unsupervised, and however the injury or damage is caused, including but not limited to the negligence of the CSSSA Releasees. I further covenant that I shall bring no civil action against the CSSSA Releasees based upon any of the foregoing. I understand that I will be solely responsible for any loss or damage including, but not limited to, death or paralysis, that I may sustain while using CSSSA and that by signing this Agreement, I am relieving the CSSSA Releasees of any and all liability for such loss, damage or death (other than as a result of their gross negligence or intentional misconduct).

I do hereby further agree to INDEMNIFY AND HOLD HARMLESS the CSSSA Releasees from any and all causes of action, claims, demands, losses or costs of any nature whatsoever (except for those resulting from the gross negligence or willful misconduct of the CSSSA Releasees) arising out of or in any way relating to my use of CSSSA (excluding any violation of environmental laws). I further certify that I am in good health and that I have no physical limitations that would preclude my safe use of CSSSA.

I acknowledge that the foregoing agreement is intended to be as broad and inclusive as permitted by the law of the State of Georgia and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect.

I understand that the terms of this agreement are legally binding and that I by checking the box on the membership form that shall act as my signature to this agreement, after having carefully read it, of my own free will.

Certification

By my electronic signature, I certify the following” (1) I can lawfully own and possess a firearm in Georgia; (2) I am a citizen or legal resident of the United States of America; (3) I am not a member of any organization or group having as its purpose or one of its purposes, to overthrow by force and violence or by subversion, the government of the United States of America or any of its political subdivisions; (4) I will abide by all the by-laws and rules established by the Camp Sumter Gun Club. (5) I expressly agree to the terms and conditions of the Waiver of Liability, Indemnification, and Covenant Not to Sue Agreement.

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Camp Sumter Gun Club https://www.campsumtergunclub.com
Signature Certificate
Document name: Contract Agreement Form
lock iconUnique Document ID: be3e59d0ca9061b3e97c1d870254b7b176441ddd
Timestamp Audit
July 7, 2020 7:51 pm EDTContract Agreement Form Uploaded by Bill NeSmith - bill@campsumter.net IP 201.213.131.11