STAFF USE ONLY: PACKET & ID: _ CART EZ: SCHEDULED: PAID: /MTHLY: PKGS/#/SS: INITIAL INITIAL WHERE/LENGTH INITIAL INITIAL INITIAL 4990 Ronald Reagan Blvd. Johnstown, Colorado 80534 l P: 970-578-0717 l F: 970-578-0722 l www.libertyrange.com ARCHERY MEMBER AGREEMENT Welcome and thank you for choosing to be a Member of Liberty Firearms Institute! This agreement provides a membership overview, an explanation of the individual benefits, and facility requirements. Full Legal Name: First Middle Last Sex: Date of Birth: \ \ Phone Number: _ Email: Billing Address: City: State: Zip Code: Mailing Address: Same as Billing Address City: State: Zip Code: Emergency Contact Name: First Last Relationship: Phone Number: Page 1 Version (5/5/2018)
Current Archery Memberships Please initial your selection below Single Archery Membership -One adult Initiation Fee: $100 // Monthly Fee: $15 Unlimited use of the archery range 12 guest passes per fiscal year 1 FREE LFI T-shirt Couples Archery Membership - Two adults in the same household Initiation Fee: $175 // Monthly Fee: $20 Access to 3D targets Earn 1% cash back on all in-store purchases & 0.5% on firearms *Same benefits as the Single Archery Membership Family Archery Membership -Two adults & up to 4 minors in the same household Initiation Fee: $250 // Monthly Fee: $25 *Same benefits as the Single Archery Membership Facility Usage Requirements Safety Anyone using facility, must abide by the following safety rules: Members and guests must check in at the Concierges Desk prior to being granted access to the archery range. Prior to using the tree stand, all shooters must receive a safety briefing from LFI Staff. Use of the tree stand is reserved for lane one. Harness must be worn at all times while using the tree stand. Use of broadhead arrows are not permitted with 3D targets, however, may be shot at a specific target approved by LFI Staff Rental Agreement Archery rentals include: Recurve Bow, three arrows, quiver, one target (arm guard optional) for $10/hour Crossbow, three bolts, one target for $15/hour $5/ hour lane rental for non-members. Additional $5 fee to shoot at 3D targets Behavior Liberty Firearms Institute prides itself in being a safe and family friendly destination. Everyone is required to sign a Liberty Firearms Institute Liability and Indemnity Waiver upon their first visit to the range. Each individual will be held responsible for the actions of their guests or children. All individuals and their guests are required to abide by all range safety rules at all times while in the range. Lanes are subject to availability. Page 2
Billing Billing cycles are on a monthly basis, based upon the date of initiation. By providing LFI with credit card information, Members authorize regularly scheduled charges for the associated monthly membership dues. All cash and/or check dues must be paid prior to the billing due date or monthly dues will auto change. Billing authorization will remain in effect until it is cancelled in writing. Members are required to provide a written notice for the cancellation to take effect. If the membership has been utilized within the last 30 days one final payment of monthly dues will be charged. Memberships are paid on a monthly basis, and as such, no refunds will be issued for initiation fees or partial months. A Member must be in good standing and current with membership dues at the time of the cancellation request. Members may freeze a membership at any time; once per calendar year for a minimum of one (1) calendar month and a maximum of three (3) consecutive calendar months. A Member must be in good standing and current with membership dues at the time of request. During the membership freeze period, no dues will be collected. Memberships will be reactivated automatically at the end of your freeze period. Please note that a frozen Couples or Family Membership means all membership amenities will be unavailable to all associated parties during this period of time. Members will be notified of any billing conflict. Memberships are subject to being frozen or suspended until the conflict is resolved. Liberty Firearms Institute reserves the right to suspend or cancel any membership at any time, without warning. Members should contact LFI to update account information when credit cards are renewed or replaced. Memberships are not transferable. Full Name Primary Account Holder: Full Name Additional person(s) authorized to access membership & billing details: Archery Range Safety Rules 1. FOLLOW ALL ARCHERY SAFETY RULES: a. NEVER DRY FIRE A BOW. b. NEVER POINT A BOW AT ANOTHER PERSON. c. ONLY NOCK ARROWS ON A HOT FIRING LINE AND THEY MUST REMAIN POINTED DOWN RANGE. d. NO ONE IS ALLOWED BEYOND THE FIRING LANE UNLESS THE RANGE IS COLD AND EVERYONE IS AWARE. 2. Commands issued by LFI Staff must be obeyed immediately and without question. 3. High draws are prohibited. 4. Only equipment in good working condition and suitable for target practice may be used, check equipment regularly for cracks and twisting. If in doubt, have it checked by an LFI Bow Technician. 5. Do not draw a bowstring back further than the length of the arrow for which it is intended. 6. Do not shoot broadhead arrows at 3D targets. 7. No running in the archery range. 8. Paintball guns, air guns, pistols, rifles, or other high-powered weapons are prohibited from use in the archery range. 9. All forms of food, beverages, gum, alcohol, and tobacco are prohibited. No person under the influence of alcohol or drugs is permitted in the range. 10. Children: under age 16 must be accompanied by a parent or guardian at all times; under the age of 10 are not allowed in the range. Exceptions can be approved by LFI Staff. 11. All spectators, or people on the range not firing, must remain well behind the designated firing line. 12. Observe a limit of 5 arrows per end. 13. Each shooter will be held financially responsible for any damage caused to LFI property or equipment, whether accidental, willful, or otherwise. Page 3
FAILURE TO ABIDE BY ANY OF THESE RULES MAY RESULT IN LOSS OF SHOOTING PRIVILEGES AND/OR REMOVAL FROM THE RANGE. THE ABOVE REGULATIONS ARE FOR YOUR SAFETY AND THE SAFETY OF THOSE AROUND YOU. I, Full Name do hereby swear that I am solely responsible for the behavior and well-being of myself and my children listed on this form. I agree that I, and my children listed on this form, will never be careless and/or negligent with any bow. The term bow as used in this document, or on any signage on LFI property, applies to any item that discharges an arrow or bolt under power from a string, cable, or drawstring (including, but not limited to, recurve bows, compound bows, longbows, and crossbows). I, and my children, will abide by and obey all rules pertaining to use of the archery range listed on the previous pages, all signs posted within the ranges, and will abide by the commands of all LFI Staff 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, contractor, proprietor, owner, co-owner, manager, associate or possessor of the land and/or facilities, or any other employee in any capacity of Liberty Firearms Institute for any harm, injury, death, or property damage sustained or endured while utilizing the LFI facilities occurred as a result of, but not limited to, my and/or my children s or guest s negligent or unsafe actions, personal equipment, any act of nature, or any unforeseeable event, chain of events or incident, or actions of any agent of the facility. I attest that any bows, arrows, and other personal equipment provided by me or my guest(s) for use in the archery range are safe & reliable. I agree and understand that if I, or my children listed on this form, violate any LFI rules, regulations, or guidelines that my privilege to use the archery range may be temporarily suspended or permanently revoked, and I also agree that if I have provided any false statement or information, that my privileges will be immediately revoked with the complete and total forfeiture of any dues or fees paid to Liberty Firearms Institute. I acknowledge that any activity within Liberty Firearms Institute may be monitored and recorded by video, photo, or audio means and authorize LFI to use any photographs, video, or audio recording taken while on LFI property. LFI reserves the right to eject any person for reasonable cause or make changes to range rules at any time. By signing this Liability and Indemnity Waiver, I am stating that I have read the entire document and that I agree to the requirements, rules, terms, and conditions regarding use of the Liberty Firearm Institute indoor pistol, rifle, and archery ranges located at 4990 Ronald Reagan Blvd. in Johnstown, Colorado 80534. (Signature) (Date) Please list the names of any children under age 18 that will accompany you: Child(s) Full Legal Name: Sex Date of Birth Age: Certification(s) Page 4
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