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这里是我当年给学员提供的waiver form, 格式被打乱了，但是内容如下:
RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF RISK AGREEMENT WARNING : FIREARM SHOOTING ACTIVITIES COULD CAUSE SERIOUS INJURY OR EVEN DEATH Whereas, in consideration of being permitted to attend a course for instruction in firearms, for the instruction in firearms, for use of premises, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, Undersigned agrees to the following : “HOHENSTAUFENZ” (在此省略我的legal name) and University of XXXXXXX are not attorneys; and nothing discussed during training is meant to be construed as legal advice in any manner or jurisdiction. Undersigned hereby recognizes his/her obligation to understand all applicable laws and is hereby advised to consult a licensed attorney for any legal advice. Undersigned is fully aware that firearm shooting and all associated activities are inherently dangerous and can lead to injury or death and no amount of care, caution, instruction, or expertise can eliminate these risks. Undersigned understands the scope, nature, and extent of the risks involved in the activities contemplated by this agreement and freely chooses to assume any and all such risks and dangers. The activities include, but are not limited to classroom instruction, travel to and from one or more shooting ranges, range-site instruction, firearm loading and discharging, firearm maintenance, and similar activities related to the training in and use of firearms (hereinafter collectively referred to as the ‘Activities”).
Undersigned agrees to indemnify and defend, including the payment of attorneys’ fees, costs and expenses, “HOHENSTAUFENZ” and University of XXXXXXX. (hereinafter collectively referred to as 'Instructor & Sponsoring Organization'), from any and all fault, liabilities, injuries, costs, expenses, claims, demands or lawsuits arising out of related to or connected with the Activities and/or the Undersigned’s presence at any facility used by Instructor & Sponsoring Organization (hereinafter collectively referred to as the ‘Premises’) that are caused or otherwise related to the non-negligent conduct of Instructor & Sponsoring Organization.
Undersigned agrees to compensate the Instructor in full current market value for any repairs and replacements of equipments, such as firearms, accessories, range gears (hereinafter collectively referred to as the ‘Equipments’) that have suffered breakage and tears under the negligence or deliberate intention of the Undersigned (including but not limited to the accidental and/or intentional dropping/bumping the Equipments on hard surfaces, manipulating the Equipments without the Instructor’s approval, failing to follow the guidance of the Instructor et cetera).
Undersigned furthermore waives and releases for himself/herself and for his/her spouse, executors, personal representatives, administrators, insurers, successors, assigns, heirs and next of kin, any and all rights, injuries, losses, demands and claims which may arise against Instructor & Sponsoring Organization ( including but not limited to the death of
the Undersigned and/or any and all injuries, damages or illnesses suffered by Undersigned or Undersigned's property ), which may, in any way whatsoever, arise out of, be related to or be connected with the Activities; the Premises, including any latent or other defect in the Premises; Undersigned's presence on or use of the Premises; Undersigned's property ( whether or not entrusted to Instructor & Sponsoring Organization ); and anything else related to any of the foregoing. Instructor & Sponsoring Organization shall not be liable for, and Undersigned, on behalf of himself/herself and on behalf of his/her spouse, executors, personal representatives, administrators, assignees, heirs and next of kin, hereby expressly releases the Instructor & Sponsoring Organization from any and all such claims, damages, injuries and liabilities.
Undersigned further acknowledges by signing this instrument that he/she is not prohibited by any Federal, State, or local law or ordinance from using firearms.
Undersigned hereby acknowledges and agrees that Undersigned has read this instrument and understands its terms and is executing this instrument voluntarily. Undersigned further certifies that he/she is eighteen (18) years of age or older and state that he/she is not under the influence of alcohol, drugs, and/or any other mind-altering substance. Undersigned furthermore hereby acknowledges and agrees that he/she has read, understands and will at all times abide by all range rules and procedures and any other rules and procedures stated by the Instructor & Sponsoring Organization.
Undersigned expressly agrees that this instrument is intended to be as broad and as inclusive as permitted by law, and that if any provision of this instrument is held invalid or otherwise unenforceable, the enforceability of the remaining provisions shall not be impaired thereby. No remedy conferred by any of the specific provisions of this instrument is intended to be exclusive of any other remedy, and each and every remedy shall be cumulative and shall be in addition to every other remedy now or hereafter existing at law or in equity or by statue or otherwise. The elections of any one or more remedy hereunder by the Instructor & Sponsoring Organization shall not constitute any waiver of Instructor's & Training Organization's right to pursue other available remedies. This instrument binds Undersigned and his/her spouse, executors, personal representatives, administrators, successors, assigns, heirs and next of kin.
UNDERSIGNED Signeature: ________________ Print Name: ________________ DATE : ________________ WITNESS 1: ________________ Signature ________________ Print Name ________________ WITNESS 2: Signature ________________ Print Name ________________________
Mailing Address of UNDERSIGNED ________________________________________ ______________________ Identification Provided ________________________ Telephone Number:________________________ Email of UNDERSIGNED: ________________________
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楼主
发表于 2014-12-5 18:01
发表于 2014-12-5 22:10
