Parental Firearms Permission and Release Form

Parental Firearms Permission and Release Form
California State law prohibits any person from furnishing, loaning or otherwise providing a minor any firearm or live ammunition without the express permission of their parent or guardian. Your son or daughter will not be allowed on the shooting range without the following signed release form. If you do not wish your son or daughter to participate in the shooting activities, please write “NO PERMISSION”.

MINOR’S NAME: (please print) ________________________________________________

I (please print) ________________________________, the parent ___________ is Legal Guardian ___________ of the above named minor do hereby give permission as required by California Penal Code Sections 12552, 12070, 12070, and 12078, et. seq. to A Place to Shoot and all its instructors and range officers, to furnish a firearm, BB gun, Air Rifle, Pellet Gun, or CO2 Gun and Ammunition to said minor for the purpose of instructing him or her in the safe handling of firearms, safe shooting, and marksmanship.

I do further agree to indemnify and save harmless A Place to Shoot and all officers, members, and employees, and volunteer thereof, from all suits or actions brought for, or on account of, any injuries or damages received or sustained by any person or persons by or from the consequences of any negligence or any act or omission of the above named minor occurring during the course of said instruction.

Signed ________________________ Parent ______________________ Legal Guardian _______________________

Print in full ______________________________________________________ Date: __________________________

Download and Print the Parental Firearms Permission and Release Form in PDF format here:

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