Liability Waiver

Full Name(Required)

Address(Required)

Street Address

City

State / Province / Region

ZIP / Postal Code

Date of Birth(Required)

Month

Day

Year

Email(Required)

Phone Number(Required)

Liability Waiver Section

Consent(Required)

I agree to the Liability Waiver

Range 609 Liability Waiver By signing this Liability Waiver and Hold Harmless Agreement, I am agreeing to the following requirements, terms, and conditions regarding use of the Range 609 indoor pistol and long gun range located at 1050 Route 47 Rio Grande, NJ 08242. • I swear and/or affirm that I am of at least 18 years of age, am of good character and moral standing and am legally entitled to possess and/or purchase a firearm. I have no criminal convictions, pending criminal charges, indictments or suffer from any form of mental illness that would prohibit me from legally and safely possessing and using a firearm, or would be detrimental or dangerous to me or others while utilizing the facilities of Range 609. • I agree that I will never be careless and/or negligent with my firearm. I will abide by and obey all rules pertaining to use of the shooting range listed below and will abide by the commands of the range safety Officer(s) while utilizing the facility. I also swear and/or affirm that I and my survivors, dependents or heirs agree to hold harmless and indemnify any employee, assistant, proprietor, owner, co-owner, manager, associate or possessor of the land and/or facilities of Range 609 for any harm, injury, death or property damage sustained or endured while utilizing the Range 609 facilities occurred as a result of, but not limited to, my and/or my guests negligent or unsafe actions, personal equipment, any act of nature, or any unforeseeable event, chain of events or incident. I attest that any weapons, ammunition & other personal equipment provided by me or my guest(s) for use in the gun range are safe & reliable. • I agree and understand that if I violate any Range 609 rules, regulations, or guidelines that my privilege to use the range may be temporarily suspended or permanently revoked, and I also agree that if I have provided any false statement or information, my privileges will be immediately revoked with the complete and total forfeiture of any dues or fees paid to United Uniforms LLC, DBA Range 609.

Range Rules Section

Consent(Required)

I agree to the Range Rules

Always keep your firearm pointed in a safe direction.
Always keep your finger off the trigger until you are ready to shoot.
Always keep your firearm unloaded until you are ready to shoot.
Know your target and what lies beyond; ensure downrange is unoccupied.
Be sure your firearm is safe to operate.
Be thoroughly familiar with how your firearm operates.
Use only the correct ammunition for your firearm.
Wear appropriate eye & ear protection at all times when in the range area.
Never use or be under the influence of alcohol or drugs while or before shooting.
Unattended firearms should no be accessible to unauthorized persons.
Only one person allowed to fire per lane.
No more than three persons per lane.
No preloaded magazines allowed into the retail area.
No tracers, incendiary gas, or explosive armor piercing or solid core ammunition allowed in the range area.
No loaded firearms allowed leaving the range area.
Do not cross the firing line for any reason. If the need arises, notify an RSO or staff member.

Firearm Rental Questionnaire Section

The questions below were formulated by the BATF. For the safety of our customers, we require the questions be answered by all individuals seeking to rent a firearm

Are you under indictment or been informed in any court for a crime punishable by imprisonment for a term exceeding one year?(Required)

Yes
No

Are you a fugitive of justice?(Required)

Yes
No

Are you an unlawful user of, or addicted to, marijuana or any other stimulant, narcotic drug, or any other controlled dangerous substance?(Required)

Yes
No

Have you been judged mentally defective or have you ever been committed to a mental institution?(Required)

Yes
No

Have you been discharged from the Armed Forces under dishonorable conditions?(Required)

Yes
No

Are you the subject of a court order restraining you from harassing, stalking, or threatening your child or an intimate partner or child of your partner?(Required)

Yes
No

Consent(Required)

I agree to all of the rules outlined above

Please confirm that you have read and agree to all of our rules and filled out the form to the best of your ability and knowledge. Also, that you understand that if you violate any of our rules, regulations, or guidelines that your privilege to use the range may be revoked, and you also agree that if you provided any false statement your privileges will immediately revoked with the complete and total forfeiture of any dues or fees paid to United Uniforms LLC, DBA Range 609
Please confirm and sign that you have read and fully understand the statement above.

WARNING: Based on your answers, we are unable to work with you at this time.

Name

This field is for validation purposes and should be left unchanged.

United Uniforms

Liability Waiver Form

Liability Waiver Section

Range Rules Section

Firearm Rental Questionnaire Section

WARNING: Based on your answers, we are unable to work with you at this time.