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Waiver of Liability and Acknowledgement of Risk

YOU MUST COMPLETE ALL PARTS OF THE AGREEMENT AND QUESTIONARE. PLEASE ENSURE YOU SCROLL DOWN TO VIEW AND COMPLETE ALL OF THE DOCUMENTS.

YOU ONLY MUST FILL OUT THIS WAIVER ONCE FOR TRAINING (NOT FOR EACH CLASS)

Do you use cannabis or hold a medical cannabis card? IF SO, STOP NOW and contact USTASC for a refund. You cannot possess a firearm per federal law if this applies to you. If you do not hold a medical cannabis card or use cannabis, check AGREE.

I Agree

I hereby acknowledge and agree that I have voluntarily applied to enter on to and to engage in or to observe shooting and other activities wherever training is provided (at a weapons range, at USTASC Offices and/or facilities, my business, my home, etc) by Tactical American Security Consulting, LLC hereby known as "TASC OR USTASC". I further acknowledge and understand that shooting and other activities include any and all activities of any kind whatsoever in which I engage or observe while at the RANGE or other training locations operated by TASC , whether sponsored by the TASC or not. Training may include firearms, demonstrations, physical and psychological stress, paintball-type weapons, tasers, teargas, baton use, stun guns, running, crouching, crawling, self-defense, and all other types of activities that could result in injury, serious injury, or death.

I Agree

 

I ACKNOWLEDGE AND UNDERSTAND THAT PARTICIPATING IN COMBATIVE SELF-DEFENSE COURSES ARE INHERENTLY HAZARDOUS and involve grappling, fighting, being struck, and striking others. I understand the anticipated risks of participating in this activity could cause brain damage, brain hemorrhaging, loss of eyesight or hearing, paralysis, broken bones, mental and physical stressors, strained or torn muscles, death, and all other injuries that are possible. I understand that such risks cannot be eliminated without compromising the essential qualities of physical training in defensive tactics. I further understand and agree that certification for defensive tactics, pepper spray/JPX, baton, and/or handcuffing may result in injury. If I undergo pepper spray/JPX training I understand and agree that it will require exposure to either Capsicum Oleoresin (OC) or 0-Chlorobenzylidenemalononitrile (CS). Both substances cause an extreme sensation of pain and burning, temporary blindness, restricted breathing, and panic. 

I Agree

 

I ACKNOWLEDGE AND UNDERSTAND THAT SHOOTING ACTIVITIES AND ALL OTHER TRAINING ACTIVITIES PROVIDED BY TASC ARE INHERENTLY HAZARDOUS and involve both known and unanticipated risks which could result in damage or destruction of property and physical or emotional injury, including paralysis or death, of myself or of other persons. The risks include, but are not limited to: being shot by or shooting myself or others; partial or total loss of eyesight or hearing; inhalation or other harmful contact with lead or other contaminants; and being struck by flying or falling objects. I understand that such risks cannot be eliminated without compromising the essential qualities of shooting activities.

I Agree

 

I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT the nature and condition of the RANGE AND TRAINING facilities AND LOCATIONS, premises and environment is such that both known and unanticipated hazards exist which create or contribute to both known and unanticipated risks inherent in entering onto the RANGE OR TRAINING FACILITIES AND LOCATIONS, in using range and training locations and in engaging in or observing any activities of any kind whatsoever while at the RANGE OR TRAINING FACILITIES AND LOCATIONS. The hazards include but are not limited to: slippery, loose or falling soil and rocks; unimproved, unmaintained, or uneven terrain, walkways, steps, and roads; poisonous or dangerous plants, reptiles, insects, and other animals; and falling trees and tree branches. I understand that such hazards and risks cannot be eliminated without compromising the essential qualities of the range and training locations, equipment, premises, and environment.

I Agree


I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT the TASC has no duty to undertake first-aid or rescue operations or procedures in the event any such property damage or physical or emotional injury occurs, and that any such operations or procedures may result in compounded or increased damages or injuries.

I Agree


I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT the TASC makes no warranty as to the design, manufacture, maintenance, condition or fitness for any particular purpose of any RANGE OR TRAINING facilities OR LOCATIONS or equipment, including, but not limited to: firearms, ammunition, eye/hearing protection, simunitions/UTM, RAM weapons and first-aid supplies.

I Agree


I FURTHER ACKNOWLEDGE AND UNDERSTAND THAT all training information is for information purposes only. I understand that I, ultimately, have responsibility of my own actions and personal safety. I hereby release and protect Tactical American Security Consulting, LLC, it's employees, subcontractors, the firearms dealer I was referred to TASC by/and or the firearms dealer I purchased my firearm from (if applicable), corporate officers, et all from any and all personal and 3rd party damages or claims incurred or that may arise though my actions or inaction resulting from training that I receive.

I Agree


As lawful consideration for being permitted by the TASC to enter on to the range and training locations, to use range and training locations or equipment and to engage in or observe shooting and other activities at the range and training locations, as either a CLIENT OF TASC or a Guest, I agree as follows:


I EXPRESSLY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS EXISTING ON THE RANGE AND ANY TRAINING LOCATION IN ENTERING THE RANGE OR TRAINING LOCATION IN USING RANGE OR TRAINING FACILITIES OR EQUIPMENT AND ENGAGING IN OR OBSERVING SHOOTING AND OTHER ACTIVITIES AT THE RANGE AND TRAINING LOCATION.

I Agree


I AGREE to assume all responsibility and liability for any act or acts, even any negligent, reckless or criminal act or omission to act, of my Guests at the RANGE AND TRAINING LOCATION (I understand that my Guests include any and all persons who are not a Member of the TASC who enter on to the RANGE AND TRAINING LOCATION, use the RANGE facilities or engage in or observe shooting and other activities at the RANGE as a result of my express invitation, permission or consent). I agree that I will ensure that each of my Guests read and sign an Acknowledgement of Risk, Release & Indemnity Agreement.

I Agree


I FURTHER ACKNOWLEDGE AND AGREE THAT the TASC instructors may touch my person in order to adjust my shooting stance. Physical contact by TASC instructors only occurs when instructors feel that there is an immediate safety concern OR in order to assist me in learning how to shoot accurately. Instructors may touch me in the following areas: Back, Head, Rear of Belt/Waist area, Hands, and Arms.

I Agree


I FURTHER ACKNOWLEDGE AND AGREE THAT during training TASC instructors may subject me to mental and physical stress. I waive all claims against USTASC employees, corporate officers, instructors, et. al for any/all claims that may arise from mental and physical stress. 

I Agree


I AGREE to abide by all TASC and RANGE AND TRAINING LOCATION Rules and to ensure that my Guests do so as well.

I Agree

 

I understand that TASC to uses media (print, television, internet) to further it's sales. It may occur intentionally or inadvertently that my photograph, likeness, or video of me may be recorded. My likeness may be used in advertisements by TASC to include print media, youtube, ustasc.com, any/all other media for promotional reasons. I forever release TASC to use the aforementioned for advertising purposes. YOU WILL BE VERBALLY INFORMED OF THE RECORDING OR PHOTOS PRIOR TO THE RECORDING OR PHOTOS OCCURRING AT WHICH TIME YOU MAY OPT NOT TO PARTICIPATE.

I Agree


I understand and agree that the standard for deadly force utilization is 1) there must be a threat of IMMINENT death or 2) there must be an IMMINENT threat of grievous bodily harm. Grievous bodily harm means a serious, debilitating, potentially deadly injury. I understand and agree that USTASC is advising me that I should take all precautions against using deadly force unless it is a last-resort option to save my life or the life of another person. I understand and agree that TASC does not and will not give me legal advise and understand that TASC hereby takes no responsibility for my actions in relation to the use of force against another individual, property, or animal. 

I Agree

I AGREE that I, my next of kin, heirs, guardians, representatives and assigns HEREBY RELEASE AND FOREVER DISCHARGE AND AGREE NOT TO SUE (take legal action against) TASC (I understand that TASC includes any and all officers, directors, attorneys, agents, employees, contractors, volunteers, guests and affiliated individuals or organizations of the TASC (to include firearms dealers and manufactures.) from and against any and all claims, demands, damages, expenses, causes of action, attachments of property, or liability of any kind whatsoever, that I, my next of kin, heirs, guardians, representatives or assigns may have for property damage, personal injury or death resulting from me or my Guests entering on to the RANGE AND TRAINING LOCATIONS, using RANGE AND TRAINING LOCATIONS AND facilities or equipment, or engaging in or observing shooting and other activities at the RANGE AND TRAINING LOCATIONS, even if such claims, demands, damages, expenses, causes of action, attachments of property, or liability result partially or wholly from any act or acts, even any negligent act or omission to act, including negligent or omitted first-aid or rescue operations or procedures, by the TASC.

I Agree

I am NOT attending a course with USTASC in order to take my own life (suicide), take the life of another person (murder), assault anyone in any degree, or in preparation to commit any crime.

I Agree


I HAVE READ AND FULLY READ, UNDERSTAND, AND AGREE TO THE AFOREMENTIONED TEXT.

I Agree

First Client Name

First Name*

Middle Name

Last Name*

Phone*
First Client Date of Birth*
First Client Referral Information
How did you hear about USTASC?*

If you were referred to TASC by someone other than the above, please tell us who referred you to us...

What is the date of the class that you are registering for? *
First Client Signature*
Second Client Name

First Name*

Middle Name

Last Name*
Second Client Date of Birth*
Second Client Referral Information
How did you hear about USTASC?*

If you were referred to TASC by someone other than the above, please tell us who referred you to us...

What is the date of the class that you are registering for? *
Third Client Name

First Name*

Middle Name

Last Name*
Third Client Date of Birth*
Third Client Referral Information
How did you hear about USTASC?*

If you were referred to TASC by someone other than the above, please tell us who referred you to us...

What is the date of the class that you are registering for? *
Fourth Client Name

First Name*

Middle Name

Last Name*
Fourth Client Date of Birth*
Fourth Client Referral Information
How did you hear about USTASC?*

If you were referred to TASC by someone other than the above, please tell us who referred you to us...

What is the date of the class that you are registering for? *
Fifth Client Name

First Name*

Middle Name

Last Name*
Fifth Client Date of Birth*
Fifth Client Referral Information
How did you hear about USTASC?*

If you were referred to TASC by someone other than the above, please tell us who referred you to us...

What is the date of the class that you are registering for? *
Sixth Client Name

First Name*

Middle Name

Last Name*
Sixth Client Date of Birth*
Sixth Client Referral Information
How did you hear about USTASC?*

If you were referred to TASC by someone other than the above, please tell us who referred you to us...

What is the date of the class that you are registering for? *
Seventh Client Name

First Name*

Middle Name

Last Name*
Seventh Client Date of Birth*
Seventh Client Referral Information
How did you hear about USTASC?*

If you were referred to TASC by someone other than the above, please tell us who referred you to us...

What is the date of the class that you are registering for? *
Eighth Client Name

First Name*

Middle Name

Last Name*
Eighth Client Date of Birth*
Eighth Client Referral Information
How did you hear about USTASC?*

If you were referred to TASC by someone other than the above, please tell us who referred you to us...

What is the date of the class that you are registering for? *
Ninth Client Name

First Name*

Middle Name

Last Name*
Ninth Client Date of Birth*
Ninth Client Referral Information
How did you hear about USTASC?*

If you were referred to TASC by someone other than the above, please tell us who referred you to us...

What is the date of the class that you are registering for? *
Tenth Client Name

First Name*

Middle Name

Last Name*
Tenth Client Date of Birth*
Tenth Client Referral Information
How did you hear about USTASC?*

If you were referred to TASC by someone other than the above, please tell us who referred you to us...

What is the date of the class that you are registering for? *
Client Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive firearms & training information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Client Background Information

Here at T.A.S.C. we take your training and safety very seriously. We have generated this form for us to serve you more efficiently and to enhance the safety and security for you, our staff, the citizens, and other persons in the class. 

  • Answering YES to a question, a crime, a pending crime, medical condition, or otherwise does not necessarily disqualify you from training. We evaluate each answer.
  • Minor crimes, that do not disqualify you from owning or using a firearm, are acceptable.
  • If you are disqualified from training, you will receive a refund. 
  • Generally, the information that you provide is kept strictly confidential and is never released, unless under subpoena, unless you provide false information related to your criminal background. We cooperate with law enforcement and release information to law enforcement agencies for licensing purposes in the event that the client providesfalse or misleading information regarding their criminal background. Do not provide false, misleading, or omit information, it may be a FEDERAL OFFENSE.

You are required to fill out all areas. Please review each answer for accuracy before submitting.


Do you have a cell phone number? (If yes, please provide it) *

What was your age at your last birth date (current age)? *
Are you a certified law enforcement officer in any state (a police officer)?*
No
Yes
Have you ever been arrested or charged with a crime of violence (This includes Assault, Battery, Domestic Assault, etc.)*
No
Yes
Have you ever been arrested or charged with a felony?*
No
Yes
Have you ever been arrested for any of the following crimes: Drug distribution, wear/carry firearm, burglary, domestic violence, drug possession, assault, battery, att. Murder, rape/att. rape, sexual offense of any kind?*
No
Yes
Do you currently have any criminal charges pending (non-traffic related)?*
No
Yes
Do you currently have a PROTECTIVE ORDER or PEACE ORDER in place against you?*
No
Yes
Are you currently using any type of illegal substance or drug? This includes medications not prescribed to you, marijuana, PCP, LSD, GHB, methamphetamine, MDMA, prescription narcotics (optiots), heroine, or any other illegal substance?*
No
Yes
Do you currently hold a medical cannabis card?*
No
Yes
Are you currently taking any mind altering prescribed medications?*
No
Yes
Have you ever been diagnosed with multiple personality disorder, post traumatic stress disorder, schizophrenia, bipolar disorder, or any other disorder that results in violent or unwarranted outburst?*
No
Yes
Are you planning on a violent overthrowing of the United States Government or an assault or battery on any individual or business?*
No
Yes
Have you ever been diagnosed as mentally incompetent or not criminally responsible?*
No
Yes

If you answered YES to any of the above questions, please explain...Answering YES does not necessarily disqualify you from training...
What class are you registering for?*
How would you rate your shooting experience?*
New to shooting, never shot a gun
Very limited experience
Limited experience
Moderate experience
Advanced experience
Expert shooter
Tactical Operator (SWAT or etc.)
Do you require us to provide ammunition (250 rounds)? This is at an additional cost.*
No
Yes

Do you have a heart condition, diabetes, or other condition that may limit your mobility or otherwise affect your ability to complete training? Answering YES does not disqualify you from training. We need to know this information if something happens to you during training. *

Are you taking any heart, insulin, or other medication that we need to know about in an emergency? Answering YES does not disqualify you from training. We need to know this information if something happens to you during training. *
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Referral Information
How did you hear about USTASC?*

If you were referred to TASC by someone other than the above, please tell us who referred you to us...

What is the date of the class that you are registering for? *
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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