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Ricochet Range Waiver & Membership Form
Must Be Completed On The Day Of Your Visit. Two Adults per form.
Language
  • English (US)
  • 1
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  • 2

    Your Birthdate

    Month:  *       
    Day:    *       
    Year: *    

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  • 3

    Pre-Questions (Read All)

    Definition of "I" pertains to all members who will be on this form

    -I am over the age of 18 Years Of Age.
    -I do not have a heart condition and I am not pregnant.
    -I am allowed by local and federal law to posses firearms.
    -I am not under the influence of alcohol, illegal drugs, or medication.
    -I am wearing closed toe shoes or a covering preventing my feet from being burned from hot brass.
    -I understand I must keep all unloaded firearms in a container of some sort and case/uncase all firearms inside the firing point (pockets are not containers)
    -I do not have any steel shell casings or steel projectile rounds (Green Tip/Black Tip), incinerating rounds, or reloaded rounds (to include rounds purchased from Fully Loaded, LLC in Manning SC.)
    *          

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    Those 12-17 years old must be with their legal guardian or parent.
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    Up to two adults may be on one family form and must live in the same home. ID's must have the same address. If you are here not with your family or they live at a different address choose "Single".
    • Single
    • Family
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  • 7
    Copper is a month to month no contract membership. Lead is an annual membership. This can either be paid up front or over 12 months. Steel is a top tiered annual membership. This can either be paid up front or over 12 months.
    • Copper
    • Lead
    • Steel
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  • 8
    Lead is an annual membership. This can either be paid up front or over 12 months. Steel is a top tiered annual membership. This can either be paid up front or over 12 months.
    • Lead
    • Steel
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    Paying up front will save you 10% today. Paying over 12 months requires a debit or credit card to be on file and active.
    • Annual
    • Monthly
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  • 10
    All members on this form must live in at the same address.
    Please Select
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    • Alabama
    • Alaska
    • Arizona
    • Arkansas
    • California
    • Colorado
    • Connecticut
    • Delaware
    • District of Columbia
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    • Illinois
    • Indiana
    • Iowa
    • Kansas
    • Kentucky
    • Louisiana
    • Maine
    • Maryland
    • Massachusetts
    • Michigan
    • Minnesota
    • Mississippi
    • Missouri
    • Montana
    • Nebraska
    • Nevada
    • New Hampshire
    • New Jersey
    • New Mexico
    • New York
    • North Carolina
    • North Dakota
    • Ohio
    • Oklahoma
    • Oregon
    • Pennsylvania
    • Puerto Rico
    • Rhode Island
    • South Carolina
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    • Tennessee
    • Texas
    • Utah
    • Vermont
    • Virgin Islands
    • Virginia
    • Washington
    • West Virginia
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    • Wyoming
    Please Select
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    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curacao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
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    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 12
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  • 13
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    Is there a second adult?(even if your here for just a day)      *         
    Are there any children who are legally yours that will be using the firing range?     *       
    How many are ages 12-17 as of today?        

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  • 15

    Secondary Member Information

    This member must live at the same address as the primary member (proof required).

    First Name: *    
    Last Name *    
    DOB Month:  *       
    Day:    *       
    Year: *    
    Is the Secondary Adult Present        *       

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  • 16
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  • 17

    First Child Information

    You must be the child's legal guardian or parent.

    First Name: *    
    Last Name *    
    DOB Month:  *       
    Day:    *       
    Year: *    

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  • 18

    Second Child Information

    You must be the child's legal guardian or parent.

    First Name: *    
    Last Name *    
    DOB Month:  *       
    Day:    *       
    Year: *    

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  • 19

    Third Child Information

    You must be the child's legal guardian or parent.

    First Name: *    
    Last Name *    
    DOB Month:  *       
    Day:    *       
    Year: *    

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  • 20

    Forth Child Information

    You must be the child's legal guardian or parent.

    First Name: *    
    Last Name *    
    DOB Month:  *       
    Day:    *       
    Year: *    

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  • 21

    Fifth Child Information

    You must be the child's legal guardian or parent.

    First Name: *    
    Last Name *    
    DOB Month:  *       
    Day:    *       
    Year: *    

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  • 22

    Sixth Child Information

    You must be the child's legal guardian or parent.

    First Name: *    
    Last Name: *    
    DOB Month:  *       
    Day:    *       
    Year: *    

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  • 23

    Emergency Contact

    Please provide an Emergency Contact should the need arise.

    Name First:    *    
    Last Last: *    
    Phone:       *    

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  • 24

    REQUIRED FOR ALL EFT AND CREDIT CARD DRAFT ACCOUNTS

    I, {memberinfoPrimary} hereby requests the privilege of paying to Ricochet Range, LLC, and further authorizes Ricochet Range, LLC to draw items (checks, electronic fund transfers, charge card) for the purpose of paying said payments, including any late fees or service fees, on the account of Member.
    Payment Method: Credit card given at time of purchase
    Subject to the following conditions:
    1. The items shall be drawn on or about the date or dates set forth in the Contract. The transactions on your bank or credit card statement will constitute receipts for payment on your account.

    2. If the regular payments set forth in the Contract should vary in amount, you are entitled to receive notice at least 10 days before each payment of when it will be made and how much it will be. However, by executing this preauthorization, you choose to instead get this notice only when the payment would differ by more than $50.00 from the most recent payment.

    3. By executing this agreement, you acknowledge your awareness that certain disclosures required by the Electronic Funds Transfer Act and its regulations are available for your review at Range’s website: www.ricochetrange.com.

    4. The privilege of making payments under this arrangement may be revoked by Range if any item is not paid upon presentation.

    5. If this preauthorization payment arrangement is revoked for any reason, this does not release you from your obligations under the Contract, including the obligation to pay the membership fee.

    6. A service fee will be assessed and drafted for any check, draft, credit card, or order returned for insufficient funds or any other reason. A late fee will be assessed and drafted should any monthly payment become past due.

    7. This preauthorization payment arrangement shall apply to the Member(s) listed above and signed below 

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  • 25

    To Have an Annual Membership Paid Monthly, Please Agree to Continue
    *       

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  • 26

    Everyon on this form must READ, AGREE, and SIGN after the following statement

    If you have children (listed above) whom will use the range, under your guidance, your signiture authorizes thier use of the range.

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  • 27

    Range Rules

    -Members must have a current and signed liability waiver on file before using the range.
    -Loaded firearms are not allowed on Ricochet Range property other than on the Firing Line.
    -Consuming alcoholic beverages or drugs (including prescription and over-the-counter medications) before or during live fire activities is STRICTLY PROHIBITED.
    -Phones will be placed on SILENT and NO-SELFIES
    -Individuals under the age of 18 will be permitted to use the range only if accompanied with a parent or legal guardian, 21 or older.
    -At no time will firearms, regardless of whether or not they are loaded, be pointed at or in the direction of any person.
    -All shooters and spectators on the firing lines and viewing areas must wear ear and eye protection.
    -FULLY AUTOMATIC FIREARMS ARE PROHIBITED.
    -BLACK POWDER FIREARMS ARE PROHIBITED. SLIDE-FIRE STOCKS, BINARY TRIGGERS AND ANY OTHER DEVICE THAT MIMICS AUTOMATIC FIRE ARE PROHIBITED. One Shot Per Second
    -Non-Factory reloaded Rounds are prohibited. No-reloaded rounds!!!
    -Members will keep their fingers off the triggers and outside the trigger guard until the firearm is pointed safely down range.
    -FIRING OF ARMOR-PIERCING OR TRACER AMMUNITION IS PROHIBITED. No steel cased rounds. Since we can not verify there are no steel in the projectiles, steel cases are not allowed.
    -All firearms will be treated as if they are loaded at all times.
    -Firearms must be pointed down range with barrel horizontal at all times.
    -NO SHOOTING ACROSS LANES!
    -Only paper targets are to be used. Personal targets may be used if they meet the requirements of Ricochet Range.
    -Accidental Discharge of a firearm may result in temporary suspension of the member's ability to enter the range for one month. Depending on the severity of the situation; it is within the rights of Ricochet Range, to revoke the membership of the responsible person without refund.
    -If there is a misfire, be sure to keep the muzzle pointed down range (preferably on target) for at least 45 seconds, in case it is a hang fire.
    -All shooting will be done from the firing line.
    -All rounds must impact the target, and bullet trap. Shooters that fail to control fires that strike range equipment resulting in damage will be asked to leave the range and pay for damages.
    -Unless you are keeping your own brass, leave all brass on the ground. Do not pick up any item that has fallen forward of the firing line.
    -All targets are to be removed from the target holders and disposed of when finished shooting.
    -ALL firearms be in a closed container when moving to and from the firing line.
    -When a "Cease Fire" is called by ANYONE, stop all shooting and wait for instruction from the RSO.
    -Eating, drinking, or the use of tobacco products is prohibited in the range.
    -Must wear closed toe shoes while in the firing range.
    -IN ALL CASES THE RSO'S DECISIONS ARE FINAL AND BINDING. HIS/HER DECISIONS ARE BASED ON THE CURRENT SITUATION AS IT EXISTS, AND HIS/HER JUDGEMENT DICTATES. THE RSO'S DECISIONS MAY SUPERSEDE THE GENERAL PRINTED RULES OR SOP. NOTE: The RSO on duty is tasked with the authority to require anyone shooting on the range be given additional training before being allowed to shoot on the range again and revoking their range use.
    -No instruction may be performed on the firing line for personal or professional gain unless authorized by Ricochet Range Staff.
    -I am financially responsible for any damage to the range or facilities.

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  • 28

    ASSUMPTION OF RISK, RELEASE AND INDEMNIFICATION AGREEMENT (“AGREEMENT”) 

    In consideration for being permitted to participate in a course of instruction in the use of firearms (“Firearms Class”) and for use of the firing range (“Range”) located at 1410 Hwy 15S, Sumter, SC (“Premises”) and operated by Ricochet Range (“RR“), and for other valuable consideration, the receipt and sufficiency of which are hereby acknowledged, I represent, warrant, acknowledge and agree as follows:

    1. I fully understand and acknowledge that the handling, discharging and firing of firearms and live ammunition are inherently dangerous and can cause serious damage, injury and harm to property and persons, and are capable of causing serious injury, scarring, loss of an important bodily function, permanent disability and/or death, and may cause severe social or economic losses due to not only my own actions, inaction or negligence, but also to the actions, inaction or negligence of others or conditions of the Premises or of any equipment used. Further, I acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time.

    2. I acknowledge and agree that (a) I will be voluntarily engaging in activities that involve the discharging of firearms and I knowingly, freely and voluntarily assume all risks, both known and unknown, related in any manner with my participation in a Firearms Class and/or my use of the Range on the Premises, which include, but are not limited to, instruction in the use of firearms, the handling of firearms and ammunition, the discharge of firearms and the firing of live ammunition, (b) my participation in a Firearms Class and/or my use of the Range shall be undertaken by me at my own risk and neither RR nor any of its members, managers, employees, instructors, landlords, agents or other representatives (collectively, the “Parties”) shall be liable for any injuries or damage to me or my property nor be subject to any claim, demand, injury or damages whatsoever, including without any limitation, those injuries or damages resulting from acts of active or passive negligence on the part of RR or any of the Parties or any other third-party, (c) I accept personal responsibility for any damages resulting from such injury, permanent disability, or death, and (d) I am covered by my own insurance policies covering all injuries to me personally or which I may cause to others or which may be caused to me by others. 

    3. I, for myself and on behalf of my executors, personal representatives, administrators, assignees, heirs and next of kin, (a) hereby release, waive and forever discharge RR and its affiliate, subsidiary and parent corporations, partnerships and limited liability companies, its and their successors, assigns, members, shareholders, partners, officers, directors, managers, employees, instructors, independent contractors, landlords, agents and representatives (collectively, the Released Parties”), of and from any and all claims, demands, rights, causes of action, damages, losses, costs, expenses, present or future, now existing or which may hereafter accrue, whether known or unknown, anticipated or unanticipated, and the consequences thereof, with respect to any and all injury, disability, death, or loss or damage to person or property, or resulting from or arising out of, or incident to, my participation in a Firearms Class, my presence on and/or use of the Range, and/or any actions taken by me in reliance on the Firearms Class, whether caused by the negligence of any of the Released Parties or otherwise, except that which is the result of gross negligence and/or wanton misconduct on the part of RR, and (b) agree that neither I nor anyone acting on my behalf will make any demand or claim, or commence, prosecute, cause or permit to be prosecuted, any action or proceeding of any description whatsoever against any of the Released Parties for damages, expenses, or losses, of whatever nature, including the consequences thereof, which arise or allegedly arise, are based on, or are connected, directly or indirectly, with the matters released in this Agreement or that I may otherwise have arising out of my participation in a Firearms Class and/or use of the Range on the Premises.

    4. In no event shall RR or any other Released Party be liable to me or to any third party for any incidental, indirect, special, consequential or punitive damages whatsoever, or any other damages or loss arising out of or related to my participation in a Firearms Class and/or my presence on and/or use of the Range, regardless of the theory of liability (contract, tort or otherwise), even if RR has been advised of the possibility thereof. RR’s entire liability for any matter arising from or related to my participation in a Firearms Class and/or my presence on and/or use of the Range shall be limited to the amounts paid by me or on my behalf to RR.

    5. I agree to indemnify and hold RR and the Parties harmless from and against any and all claims, lawsuits, liabilities, demands or damages, including costs, counsel fees, and expenses, and liabilities which may be incurred in connection therewith, by or on behalf of any person, firm or corporation, arising out of, related to or connected in any manner with (a) the Firearms Class, (b) my presence at and/or participation in a Firearms Class and/or use of the Range on the Premises, (c) any actions taken by me in reliance on the Firearms Class, (d) my discharge of firearms, and (e) my actions and/ or omissions to act, whether related to the course of instruction or not. I further agree to indemnify and hold RR and the Parties harmless from and against any claims by third parties for bodily injury, death or property damage arising out of, related to or connected in any manner with any of the matters set forth above.

    6. I represent and warrant that I (a) am not under indictment for, and I have not been convicted in any court of, a crime punishable by imprisonment for a term exceeding one year, (b) am not a fugitive from justice, (c) am not an unlawful user of or addicted to any controlled substance, (d) have not been (i) adjudicated as a mental defective or (ii) committed to any mental institution, (e) am not illegally or unlawfully in the United States, (f) have not been discharged from the Armed Forces under dishonorable conditions, (g) have not renounced my United States citizenship, (h) am not subject to a court order that restrains me from harassing, stalking, or threatening any person, and (i) have not been convicted in any court of a misdemeanor crime of domestic violence.

    7. I agree to comply with all South Carolina State laws regarding the use and possession of firearms. My includes but is not limited to: SC Code of Laws Title 23 Chapter 31 and Title 16 chapter 23 which pertains to the and use of firearms, prohibits the operation of a loaded machine gun, and prohibits the possession of a rifle" or "Sawed-off shotgun."

    8. I acknowledge and agree that I have read, understand and will at all times fully abide by all rules, policies, and procedures governing the Firearms Class, the Range, use of the Premises, and any other rules stated by RR or any of the Parties.

    9. This Agreement shall be governed by and construed in accordance with the laws of the State of South Carolina. I expressly agree that this Agreement is intended to be as broad and inclusive as permitted by law and that if any provision of this Agreement is held invalid or otherwise unenforceable, the enforceability of the remaining provisions shall not be impaired thereby.

    10. I have read and understood the “Members Section” of the standard operating procedures as it pertains to the use of the firing range located at Ricochet Range, LLC. I also agree to abide and follow all current membership rules.

    11. [Parent(s) or legal guardian(s) of minors age 17 and below only] I agree to instruct the minor participant to the above warnings and conditions and their ramifications, and consent to the minor’s participation. Parent(s) also acknowledge the child engaging in the practice in using a firearm for target shooting at an established Range or in an area where the discharge of a firearm is not prohibited or supervised by: (a) a qualified firearms instructor or (b) an adult who is supervising the child while the child is at the Range.

    I REPRESENT THAT I (I) HAVE READ AND FULLY UNDERSTAND THE TERMS OF THIS AGREEMENT, (II) UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS AGREEMENT, (III) SIGN THIS AGREEMENT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, AND (IV) UNDERSTAND THAT THIS AGREEMENT IS BINDING ON ME AND ON MY EXECUTORS, PERSONAL REPRESENTATIVE, ADMINISTRATORS, ASSIGNEES, HEIRS AND NEXT OF KIN.

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  • 29
    I am voluntarily participating in a high risk activity at Ricochet Range, LLC and Agree to the statement on the previous screen. By signing, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.
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  • 30
    Pick a Date
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  • 31
    I am voluntarily participating in a high risk activity at Ricochet Range, LLC and Agree to the statement on the previous screen. By signing, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.
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  • 32
    Member Notes
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