Adult Membership – The Firing Line LA

Adult Membership(Required)

This is for registering a membership for an adult.

Price:

Participant's Name(Required)

First Last

Contact Phone Number(Required)

Secondary Phone Number

Email(Required)

Discipline(s) Participating In(Required)

Rifle

Pistol

Annual Waiver and Hold Harmless Agreement

I understand that I hold North Caddo Shooting Club (NCSC), the Parish of Caddo, and any affiliated entity, their officers, agents, employees, and volunteers (collectively referred to as “Released Parties”) harmless from any and all liability or claims, which may arise out of or in connection with participation in the shooting program. I release from all liability for damages arising out of personal injury to participant (including death) or any damage to property whether from anyone’s negligence or not, or any other cause arising out of my participation in any and all North Caddo Shooting Club activities. I will keep the Released Parties by this agreement free of any damages or costs, including but not limited to attorney’s fees that may arise from any claims. Furthermore, I state that I have read the above authorization and release prior to its execution, and that I am fully familiar with the contents thereof. I furthermore agree that my electronic signature below binds myself and the participant to the agreement. This form must be completed and signed before participants are eligible to participate as a member of North Caddo Shooting Club. I have read, understand, and agree to comply with the information in this document. The Hold Harmless Participant Waiver & Release Form shall be considered valid for a period of one (1) year from the date of signature.

Name(Required)

First Last

Date(Required)

Signature (write name)(Required)

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Total

Credit Card(Required)