WAIVER

I do hereby waive any and all claims for damages against the East Grand Forks Rod and Gun Club, their members and officers arising from my participation in any club activity or use of the range.

I further agree to abide to all safety regulations and by-laws. I understand that my failure to comply with club and safety regulations can, depending on the circumstances, result in my possible suspension from the club.

I certify that I am 18 years of age: that I have never been convicted of a crime of violence or a felony, nor am I under indictment for a felony.

I certify that I have never been committed to a mental hospital by court order.

I certify that I am not a member of any organization or group having as its purpose or one of its purposes to overthrow by force and violence the government of the United States or any of its political subdivisions.

I certify that the skills learned or practiced at the club activities will be used by me to develop my own abilities in the safe, recreational use of firearms (including practical shooting, hunting, target shooting, and other shooting sports), and that I have no intent to unlawfully employ any firearms or techniques in a civil disorder.