STOP! Did you read the Rules & Regulations (specifically the Scheduling Policy) AND agree to it by submitting the form? * Yes No One & Done TacticsWaiver & Release ofLiability Form New Participants: * The first time that any person (“Participant”) participates in Firearm Training, Firearm Qualification, Firearm Classes, Courses, Sessions, or any other Firearm related activities with Juan'Kimla Robinson, LLC dba One & Done Tactics (ODT) at any of the predetermined indoor and/or outdoor shooting ranges (the “Premises”), such Participant is required to: (1) initial every page of this Participant Package; (2) complete and execute the Safety Questionnaire; (3) complete and execute the Waiver & Release Agreement (“Agreement”); and (4) execute and adhere to the Safety Rules & Regulations. Return Participants: Each subsequent time that the Participant participates in Firearm Training, Firearm Qualification, Firearm Classes, Courses, Sessions, or any other Firearm related activities with Juan'Kimla Robinson, LLC dba One & Done Tactics (ODT), such Participant shall be deemed to reaffirm prior completion, as of the time of entry upon the Premises: (1) all of the releases contained in Section 1 of the Agreement; (2) all of the covenants contained in Section 2 of the Agreement; (3) all of the obligations contained in Section 3 of the Agreement; and (4) all of the representations contained in Section 4 of the Agreement. The undersigned hereby represents, warrants, and agrees that: (1) all information provided in this Safety Questionnaire is true, accurate, and complete as of the date listed below; (2) ODT can rely upon the truth, accuracy, and completeness of all information provided in this Safety Questionnaire; and (3) the undersigned voluntarily and knowingly (i) chooses to enter the Premises and/or participate in the Activities notwithstanding the existence of known and unknown risks of damage, death, injury, or loss to the undersigned’s person or property; and (ii) accepts and assumes any and all risks of damage, death, injury, or loss associated with entering the Premises and/or participating in the Activities. I agree JUAN'KIMLA ROBINSON, LLC dba ONE & DONE TACTICS Waiver & Release Agreement (the “Agreement”) * Provider: Juan'Kimla Robinson, LLC dba One & Done Tactics (“ODT”), a limited liability company that is organized pursuant to the laws of the State of Texas. Section 1. Waiver And Release. In consideration for receiving permission from ODT to participate in Firearm Training, Firearm Qualification, Firearm Classes, Courses, Sessions, or any other Firearm related activities (collectively, the “Activities”), Participant, on behalf of itself, its heirs, representatives, administrators, successors, and permitted assigns (collectively, the “Participant Parties”, and together with Participant, collectively the “Releasors”), hereby voluntarily, knowingly, and expressly discharges, waives, and releases any and all causes of action, claims, complaints, demands, grievances, liabilities, rights, and suits (collectively, the “Released Claims”) — whether known or unknown, whether at law or in equity, whether in contract or in tort, whether at common law or by statute — that any of the Releasors had, has, or may have against ODT, its affiliates, or any of their respective owners, members, managers, partners, directors, officers, employees, contractors, agents, invitees, or licensees (collectively, the “ODT Parties”, and together with ODT, collectively, the “Releasees”) as of the Effective Date arising out of or relating to any damage, death, injury, or loss sustained by any person or property in connection with or as a result of any Participant’s entry onto the Premises or Participant’s participation in the Activities regardless of whether such damage, death, injury, or loss is directly or indirectly caused, in whole or in part, by the negligence, gross negligence, or recklessness of any of the Releasees. Section 2. Covenant Not To Sue. In consideration for receiving permission from ODT to participate in the Activities, each of the Releasors hereby voluntarily, knowingly, and expressly covenants not to assert or to participate in the assertion of any of the Released Claims against any of the Releasees on or after the Effective Date. Section 3. Indemnification. In consideration for receiving permission from ODT to participate in the Activities, Participant hereby voluntarily, knowingly, and expressly indemnifies and holds harmless each of the Releasees from any and all costs, damages, expenses, liabilities, and losses — including, but not limited to, reasonable attorney’s fees and court costs — incurred or sustained by any of the Releasees arising out of or relating to any Released Claims, Participant’s entry onto the Premises, or Participant’s participation in the Activities. Section 4. Participant Representations. In consideration for receiving permission from ODT to participate in the Activities, Participant represents and warrants, as of the Effective Date, that: (a) Participant acknowledges and agrees that: (i) entering the Premises and/or participating in the Activities is inherently dangerous and exposes Participant to known and unknown risks of damage, death, injury, or loss to the person or property of Participant; (ii) ODT is not obligated to permit Participant to participate in the Activities; (iii) ODT may, in its sole discretion and at any time, refuse or withdraw permission for Participant to enter or remain on the Premises and/or to participate in the Activities for any reason or for no reason without providing any refund; (iv) the nature of the Premises and/or the Activities may not permit Participant to inspect areas of the Premises where Participant is not located, and there may be risks that are unknown or unforeseeable to Participant; (v) the Activities are strenuous, dangerous, and require a certain degree of physical condition, ability, maturity, and skill; (vi) all of the releases contained in Section 1, all of the covenants contained in Section 2, all of the obligations contained in Section 3, and all of the representations contained in this Section (A) are intended, and shall be construed, to be as broad and inclusive as is permitted by the laws of the State of Texas, and (B) shall be deemed reaffirmed each time that Participant enters the Premises and/or participates in the Activities; (vii) Participant has read and understood this Agreement and all of the safety rules and regulations (the “Rules”) annexed to this Agreement; (viii) ODT is reasonable in relying upon the representations and warranties contained in this Section 4, and ODT is actually relying upon the representations and warranties contained in this Section 4. (b) Participant voluntarily and knowingly: (i) chooses to enter the Premises and/or to participate in the Activities notwithstanding the existence of known and unknown risks of damage, death, injury, or loss to the person or property of Participant; (ii) accepts and assumes any and all risks of damage, death, injury, or loss associated with entering the Premises and/or participating in the Activities; (iii) waives any right of privacy, publicity, compensation, copyright or other similar right to any photographs, film, or other images that Releasees may obtain of Participant on the Premises and/or participating in the Activities; and (iv) consents to the use by Releasees of any photographs, film, or other images that Releasees may obtain of Participant on the Premises and/or participating in the Activities. (c) Participant covenants and agrees that Participant will: (i) continuously inspect for unsafe conditions in any area of the Premises where Participant is located; (ii) immediately leave, and refuse to participate in any Activities that occur on, any area of the Premises where an unsafe condition is present; (iii) promptly advise ODT personnel of any unsafe conditions that are present on the Premises; and (iv) exercise safe firearm handling practices, and adhere to the Rules, while Participant is on the Premises and/or participating in the Activities; (d) Participant confirms and verifies that Participant: (i) either (A) is eighteen (18) years of age or older as of the Effective Date, or (B) is under eighteen (18) years of age as of the Effective Date, and will be accompanied and supervised by a parent or legal guardian at all times while on the Premises and/or participating in the Activities; (ii) has not been adjudicated as mentally defective, been voluntarily or involuntarily committed to a mental institution, or been diagnosed as having any mental illness; (iii) has not been the subject of any criminal or other proceeding that prevents Participant from legally owning, handling, or possessing a firearm in the State of Texas; (iv) is not currently under the influence of any alcohol, narcotic drug, or controlled substance; and (v) possesses the requisite physical condition, ability, maturity, and skill to properly and safely participate in the Activities; (e) All information provided by Participant on the Safety Questionnaire, which is incorporated by reference herein, and all representations made by Participant in this Section 4, are true, accurate, and complete as of the Effective Date. Section 5. Mandatory Arbitration. (a) Any claim or dispute brought by or on behalf of the Participant relating to this Agreement, the Premises, or the Activities— whether at law or in equity, whether in contract or in tort, whether at common law or by statute — shall be submitted to mediation and, if not settled during mediation, shall thereafter be submitted to binding arbitration (the “Arbitration”). The Arbitration shall be conducted by Dallas JAMS - Judge Glen Ashworth or alternatively, Judge Harlan Martin or Lisbeth Bulmash, esq. (b) Each party to the Arbitration shall pay its own attorney’s fees and expenses, including but not limited to expert fees and costs of production of materials. Fees and expenses of the arbitrator shall be borne by the party initiating the Arbitration, provided that if such party prevails by the arbitrator’s award, the other party shall be responsible for fees and expenses of the arbitrator. If the award recognizes validity to both parties’ actions, responsibility for fees and expenses of the arbitrator shall be apportioned by the arbitrator. If any party commences litigation in violation of this Section 5, such party shall reimburse the other parties to the litigation for their costs and expenses, including but not limited to attorney’s fees incurred in seeking abatement of such litigation and enforcement of arbitration. (c) The Arbitration award or decision is final and may be confirmed, entered, and enforced as a judgment in a court of competent jurisdiction, subject to appeal only in the event of the arbitrator’s manifest disregard of the law, no evidence to support the award, or other such grounds for appeal of arbitration awards that exist by statute, common law, or the applicable rules of the administrative agency. (d) IF IT IS DETERMINED THAT THE ARBITRATION PROVISIONS CONTAINED IN THIS PARAGRAPH 5 ARE NOT ENFORCEABLE, PARTICIPANT: (I) SUBMITS AND CONSENTS TO THE JURISDICTION OF ANY STATE OR FEDERAL COURT LOCATED IN DALLAS COUNTY, TEXAS; (II) ACKNOWLEDGES AND AGREES THAT ALL ACTIONS OR PROCEEDINGS ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE ACTIVITIES SHALL BE LITIGATED EXCLUSIVELY IN A STATE OR FEDERAL COURT LOCATED IN DALLAS COUNTY, TEXAS; AND (III) WAIVES (A) ANY DEFENSE OF FORUM NON CONVENIENS; AND (B) ANY RIGHT TO A JURY TRIAL. PARTICIPANT ACKNOWLEDGES THAT THIS SECTION 5(D) IS A MATERIAL INDUCEMENT TO ODT'S ENTERING INTO THIS AGREEMENT. Section 6. Miscellaneous. (a) No Waiver. No amendment or waiver of any provision of this Agreement, and no consent to any departure therefrom by ODT, shall be effective unless it is made in writing and signed, stamped and dated by ODT. Each such waiver or consent shall be effective only in the specific instance and for the specific purpose for which it is given. No failure or delay by ODT in exercising, any right, remedy, power, or privilege hereunder shall operate as a waiver thereof, nor shall any single or partial exercise of any right, remedy, power, or privilege hereunder preclude any other or further exercise thereof or the exercise of any other right, remedy, power, or privilege. The rights, remedies, powers, and privileges provided herein are cumulative and not exclusive of any rights, remedies, powers, and privileges provided by law. (b) Successors and Assigns. The provisions of this Agreement shall be binding upon and inure to the benefit of Releasees, Participant, and their respective successors and assigns permitted hereby; provided, however, that Participant may not assign or otherwise transfer any of its rights or obligations hereunder without the prior written consent of ODT. (c) Merger, Integration, and No Reliance. This Agreement, the Safety Questionnaire, and the Rules comprise the complete and integrated agreement of the parties hereto relating to Participant’s participation in the Activities, and supersedes all prior written or verbal agreements, representations, warranties, inducements, understandings, and promises between the parties on such subject matter. In the event of any conflict between the provisions of this Agreement and any other written or verbal agreement, representation, warranty, inducement, understanding, or promise, the provisions of this Agreement shall control. Participant acknowledges and agrees that no written or verbal agreements, representations, warranties, inducements, understandings, or promises that are not embodied in this Agreement and that relate to the subject matter hereof: (i) have been made by ODT or anyone acting on its behalf; (ii) are being relied upon by Participant; or (iii) shall be binding on any of the Releasees. (d) Severability. If any provision of this Agreement is held to be illegal, invalid, or unenforceable, then the legality, validity, and enforceability of the remaining provisions of this Agreement shall not be affected or impaired thereby. The invalidity of any provision in a particular jurisdiction shall not invalidate or render unenforceable such provision in any other jurisdiction. (e) Governing Law. This Agreement shall be governed by, and construed in accordance with, the laws of the State of Texas without regard to any conflict of laws principles. (f) Limitation of Liability. Under no circumstances shall any Releasee be liable to any Releasor for: (i) an amount greater than $1,000; or (ii) any special, indirect, consequential, exemplary, or punitive damages. Releasors voluntarily, knowingly, and expressly waive any and all rights to special, indirect, consequential, exemplary, and punitive damages. Any claim or cause of action arising out of or relating to this Agreement or the Activities shall be barred unless it is brought within two (2) years following the Effective Date. Any longer periods of limitations are voluntarily, knowingly, and irrevocably waived by Releasors. The undersigned hereby: (1) represents and warrants that Participant has read and understood all of the provisions contained in this Agreement; and (2) agrees to be bound by all of the terms and conditions contained in this Agreement. I agree JUAN'KIMLA ROBINSON, LLC dba ONE & DONE TACTICS Safety Rules & Regulations (the “Rules”) * 1. ODT is not obligated to permit Participant to participate in the Activities. ODT may, in its sole discretion and at any time, refuse or withdraw permission for Participant to participate in the Activities for any reason or for no reason without providing any refund. Anyone displaying unsafe actions on the range will be asked to correct their behavior. Continual safety violations will result in the Participants removal from the range. 2. Participant is required to obey all Federal, state, and local laws and regulations, as well as all instructions from ODT personnel, while on the Premises and/or participating in the Activities. 3. Firearm safety is every shooter’s first and foremost responsibility! A.) ALWAYS treat all firearms as if they are loaded, B.) ALWAYS keep your firearm pointed down range, C.) ALWAYS keep your finger off the trigger until you are ready to fire. D.) Always identify your target and what is behind the target. 4. CEASE FIRE: On this command, unload your firearm and lay it down with the magazine out and the action open. Then step back from the firing line and wait for any instructions from the Range Safety Officer. Instructions from the Range Safety Officer or other staff members must be obeyed immediately and without question. 5. Food, drinks and tobacco use (including e-cigarettes) are prohibited. 6. Participant must wear eye and ear protection, appropriate attire, and footwear at all times while participating in the Activities. (Always wash face and hands with cold water after using a firearm.) 7. Persons who are under the influence or suspected of being under the influence of any alcohol, narcotic drug, or controlled substance are not permitted to participate in the Activities. 8. Federal law states you must be 21 to purchase, sell, rent or loan a handgun or ammunition. If you are between the ages of 18-20, you must furnish your own handgun and ammunition. Young shooters (ages 3-17 years of age) are ONLY allowed to participate in the Activities with their parent or legal guardian present. 9. Pregnant women, or people subject to seizures, are not allowed on the range. 10. All firearms must be in good working condition and in a case or range bag until the Participant(s) are in their assigned shooting stall. Once in the assigned stall, all firearms must be unloaded from the bag or case on the bench or other designated unloading area (not the floor) and pointed down range at all times. Any firearm that is not currently being used must have the magazine out and the slide locked back. Only unloaded firearms should be laid down on the bench or unloading area, and no firearms should be handed to another person (lay it down and switch stalls instead). Once you are done shooting, all firearms should be loaded back into your bag or case on the bench or unloading area while still being pointed down range. 11. All firearms and ammunition may be inspected by ODT personnel any time upon request. Any firearm or ammunition that is found to be unsafe or unserviceable will not be allowed. 12. Allowable calibers are: any pistol calibers from .22 to .45; any rifle calibers from .22 to .300 WinMag; and any shotgun caliber that chambers slugs. 13. Use only correctly sized and commercially manufactured ammunition. Steel-core, bi-metal, armor-piercing, tracer, incendiary, bird shot, buck shot, and black powder ammunition is not permitted. Muzzle loading firearms are not allowed. 14. Participant is permitted to collect their own brass that is on or behind the firing line, but may not collect brass that falls in front of the firing line or brass from other shooters. If you must retrieve something that has fallen forward of the firing line, please seek a Range Safety Officer or any other ODT personnel for assistance. 15. All firearms must have sights installed. 16. Unauthorized targets are not permitted. Use the appropriate size target, placed at eye level, to ensure that your shots strike the backstop and not the target holder. Be prepared to recite the following quote to ODT personnel when asked: "Situational Awareness and Preparedness are the two keys of survival". Shooting at anything other than your own target is prohibited. Cross-firing at targets is prohibited. All firing must be aimed fire. 17. Never try to catch a dropped and/or falling firearm. 18. If a misfire or other malfunction occurs, keep the firearm pointed downrange and signal ODT personnel. Do not leave the firing line with a loaded or jammed firearm. 19. Immediately report any unsafe condition or conduct to ODT personnel. 20. Recklessly engaging in conduct that places others in imminent danger, like discharging a firearm in the direction of an individual, habitation, building, or vehicle can lead to a Class A misdemeanor or a third degree felony charge. 21. Failure to comply with these Rules, or the creation by Participant of any hazardous or unsafe condition, will result in immediate removal from the Premises without the issuance of a refund. The undersigned hereby: (1) represents and warrants that Participant has read and understood all of the rules and regulations contained in these Rules; and (2) agrees to adhere to all of the rules and regulations contained in these Rules. I agree Participant's Information * First Name Last Name Parent/Legal Guardian's Full Name * *Type NA if Participant is not a minor First Name Last Name Date of Birth * MM DD YYYY Phone Number * (###) ### #### Email Address * Confirm Email Address * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Driver's License/ID Card * Issuing State * AL : Alabama AK : Alaska AZ : Arizona AR : Arkansas CA : California CO : Colorado CT : Connecticut DC : District of Columbia DE : Delaware FL : Florida GA : Georgia HI : Hawaii ID : Idaho IL : Illinois IN : Indiana IA : Iowa KS : Kansas KY : Kentucky LA : Louisiana ME : Maine MD : Maryland MA : Massachusetts MI : Michigan MN : Minnesota MS : Mississippi MO : Missouri MT : Montana NE : Nebraska NV : Nevada NH : New Hampshire NJ : New Jersey NM : New Mexico NY : New York NC : North Carolina ND : North Dakota OH : Ohio OK : Oklahoma OR : Oregon PA : Pennsylvania RI : Rhode Island SC : South Carolina SD : South Dakota TN : Tennessee TX : Texas UT : Utah VT : Vermont VA : Virginia WA : Washington WV : West Virginia WI : Wisconsin WY : Wyoming LTC Number (Optional) Issuing State (required if you enter an LTC number) AL : Alabama AK : Alaska AZ : Arizona AR : Arkansas CA : California CO : Colorado CT : Connecticut DC : District of Columbia DE : Delaware FL : Florida GA : Georgia HI : Hawaii ID : Idaho IL : Illinois IN : Indiana IA : Iowa KS : Kansas KY : Kentucky LA : Louisiana ME : Maine MD : Maryland MA : Massachusetts MI : Michigan MN : Minnesota MS : Mississippi MO : Missouri MT : Montana NE : Nebraska NV : Nevada NH : New Hampshire NJ : New Jersey NM : New Mexico NY : New York NC : North Carolina ND : North Dakota OH : Ohio OK : Oklahoma OR : Oregon PA : Pennsylvania RI : Rhode Island SC : South Carolina SD : South Dakota TN : Tennessee TX : Texas UT : Utah VT : Vermont VA : Virginia WA : Washington WV : West Virginia WI : Wisconsin WY : Wyoming Emergency Contact Name * First Name Last Name Emergency Contact Phone Number * (###) ### #### Safety Questionnaire * Have you ever been adjudicated as mentally defective, been voluntarily or involuntarily committed to a mental institution, or been diagnosed as having any mental illness? Yes No * Have you ever been the subject of any criminal or other proceeding that prevents you from legally owning, handling, or possessing a firearm in the State of Texas? Yes No * Are you under the influence of any alcohol, narcotic drug, or controlled substance? Yes No * Do you possess the requisite physical condition, ability, maturity, and skill to properly and safely participate in firearm related activities (the "Activities")? Yes No * How do you rate your previous experience with firearms?* Beginner Intermediate Expert Electronic Signature Consent * IMPORTANT ACTION REQUIRED: YOU WILL BE REDIRECTED TO A NEW PAGE TO ELECTRONICALLY SIGN UPON CLICKING THE "SIGN" BUTTON BELOW By checking here, I am consenting to the use of my electronic signature in lieu of an original signature on paper. I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement. I further agree my signature on this document is as valid as if I signed the document in writing. This is to be used in conjunction with the use of electronic signatures on all forms regarding any and all future documentation with a signature requirement, should I elect to have signed electronically. Under penalty of perjury, I herewith affirm that my electronic signature, and all future electronic signatures, were signed by myself, voluntarily and of my own free will, with full knowledge and consent and that I am legally bound to these terms and conditions. Date * MM DD YYYY Thank you for your submission! See you soon for your registered class or course.-Instructor Kim