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Minor Consent From

Florida Gun Center parental letter of consent for minor's use of shooting range

To whom it may concern:

I, certify that I am the PARENT or LEGAL GUARDIAN of , (Minor's Date of Birth) .

I do herby give my consent for the minor to use and/or occupy the shooting range(s) under my direct supervision OR the direct supervision of the named responsible adult listed below in my stead:

(NAME OF RESPONSIBLE ADULT IF SOMEONE OTHER THAN PARENT):

I certify that the minor is 13 years of age or older and acknowledge both the minor and accompanying adult (parent, legal guardian, or responsible adult) agree to abide by all range rules and to follow all safety protocols set forth by Florida Gun Center, 1770 W 38th Pl, Hialeah, FL 33012. I understand that a parent, legal guardian, or the named RESPONSIBLE ADULT above must accompany my child at all times on the range and will be responsible for monitoring my child. I authorize RESPONSIBLE ADULT to sign the minor's waiver on my behalf as the temporary guardian.

***

This section is to be filled out on site by responsible adult other than parent if applicable

Responsible Adult Driver's License # (If other than parent): _______________________________

Responsible Adult's Signature (If other than parent): _______________________________

Date: _______________________________

***

A COPY OF THIS DOCUMENT IS TO REMAIN ON THE MINOR AT ALL TIMES WHILE ON THE PREMISES

PLEASE PROVIDE A COPY OF THE PARENT'S/LEGAL GUARDIAN'S DRIVERS LICENSE WITH THIS WAIVER

Today's Date:

Parent's Driver's License #

Parent's Signature Below

Leave this empty:

Your legal name

Your email address

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Timestamp

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January 4, 2024 7:01 pm EST

Minor Consent From Uploaded by Florida Gun Center - fgcwaivers@gmail.com IP 73.138.88.86