Shootout Registration FHFTC Shootout Registration Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Gender* Male Female Age*12-1718-2425-3435-4445-5455-6465 or AbovePhone*Email* Shirt Size*Youth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLAdult 2XLAdult 3XLAdult 4XLParticipant Information* Adult Registration Youth Registration I am a Parent or Legal Guardian of a minor participant who is registering for this shooting event. Assumption of Risk* I understand that not all risks can be foreseen and there are some risks which are unpredictable. I understand that certain inherent risks cannot be eliminated regardless of the care taken to avoid injuries. By checking this box I assume all risk associated with my voluntary participation in this event. Hold Harmless, Indemnity, and Release* In consideration of my participation with FHFTC Shootout and Living Water Ranch, Inc.'s property and range, I, for myself, spouse, heirs, personal representatives, estate or assigns, agree to voluntarily release, forever discharge and agree to indemnify and hold harmless Flint Hills Foster Teen Camps and Living Water Ranch from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity for my use of Flint Hills Foster Teen Camps or Living Water Ranch's equipment or facilities, including such claims which allege negligent acts or omissions of Flint Hills Foster Teen Camps or Living Water Ranch. I understand that by checking this box I am releasing claims and giving up substantial rights, including my right to sue. Statement of Firearm Safety, Understanding and Conduct* I, as stated, bear full responsibility for my actions, conduct, and behavior and affirm to always conduct myself in a safe, lawful, and responsible manner while utilizing the facility. Participant Requirements (Read each line thoroughly)* **All firearms must comply with applicable Kansas State laws. **All ammunition must comply with applicable Kansas State laws. **The Range Safety Officer may examine and prohibit use of ammunition at his/her discretion. **No person shall discharge a firearm unless legally permitted to discharge that firearm in Kansas. **It will be at the discretion of the LWR RSO what firearms persons under age 16 can handle. **Persons under the age of 18 must be accompanied by adult, legal guardian, or RSO. **Holster firing is ONLY permitted at the discretion of the RSO. **Anyone under the influence of drugs and/or alcohol will be asked to leave the facility immediately. **In addition, LWR reserves the right to require any member to take a Breathalyzer test. **Don't point firearms at anything you don't intend to destroy. **Always treat firearms as if they are loaded. **Always be aware of the target and what is beyond it. **Always keep your finger outside the trigger guard and up on the frame until ready to fire. **Appropriate eye and ear protection must be worn at all times on the range. **Uncontrolled fire is not allowed. Shooters should only fire as rapidly as their ability permits. **Appropriate eye and ear protection must be worn at all times on the range. **THE LWR RSO commands must be obeyed at all times. **Rule violations should be reported to LWR RSO immediately. **The LWR RSO may disallow firing against any target. **During a cease-fire, all persons on the firing line MUST put down and point firearms down range. **If firearm fails to fire, keep muzzle pointed down range for at least 30 seconds and notify RSO. **All shooters shall clean up their areas when they are finished shooting. **Food and beverages are prohibited on the ranges. **Smoking is prohibited on the ranges. Acknowledgement of Participant Requirements* I have read all of the above Participant Requirements. By checking this box I acknowledge that I fully understand what each statement is asking and requiring of me as a participant. INCOMPLETE REGISTRATION Acknowledgement* By checking this box I acknowledge that my registration is not complete until I pay on the next page. My $75 registration fee is final and non-refundable. If I am unable to make it to the shoot-out I will notify Flint Hills Foster Teen Camps in advance.