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Liability Waiver / Photography consent & release form

Release and Assumption of Risk Acknowledgment


As a visitor to property located at 24383 Wise Rd Gobles, MI 49055, (hereinafter referred to as “Property”), owned by Todd Sullivan (hereinafter referred to as “Owner”), and as a participant in firearms and self-defense training conducted by Amir Khillah, (hereinafter referred to as “Instructor”), I for myself, my heirs, personal representatives or assigns, do herby release, waive, discharge an covenant not to sue the Owner and Instructor, and release said Owner and Instructor from any and all liability to undersigned, his/her heirs, personal representatives or assigns, for any and all loss or damage and any claim or demands therefore on account of injury or death to the undersigned arising out of his or her enjoyment, training, or use of the Property for recreational or other purposes.


I hereby agree to defend, indemnify, and hold harmless the Owner and/or Instructor from any loss, injury, liability, damage, or cost they may incur arising out of my use of the Property or participation in training, whether caused by the negligence of the Owner and/or Instructor or otherwise.


I herby assume full responsibility for any risk or occurrence of bodily injury, death or property damage arising out  my use of the Property or participation in training.


I have read this waiver of liability, assumption of risk, and indemnity agreement and fully understand the terms, and intend my signature to be a complete and unconditional release.

Date of birth
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