KANNAPOLIS CITIZEN POLICE ACADEMY
PARTICIPANT WAIVER AND RELEASE
The representatives of the City of Kannapolis have informed me that portions of the program in which I seek to
participate are physically challenging and may involve use of firearms and/or the operation of a police vehicle
and that there is some risk inherent with participation in this program to both participants and observers.
Accordingly, in consideration for my participation in the program, I expressly acknowledge and agree to the
following:
I recognize that the potential for injury exists and that participation in firing range activities entails both known
and unanticipated risks which could result in physical or emotional injury, paralysis, death, or damage to
myself, to personal property, or to third parties.
I understand that such risks cannot be eliminated without jeopardizing the essential qualities of this activity,
and freely assume the same. These risks, include, among other things, the potential for slips, falls and falling,
bites, pinches, scrapes, twists and jolts that could result in scratches, bruises, sprains, lacerations, fractures,
concussions or even more severe life threatening hazards, including accidently gunshot.
At any time, I am free to withdraw from participation in firing range activities, whether I do so individually or as
part of a group. The decision to continue participation in an activity indicates my consent and continue release
of liability. I expressly agree and promise to accept and assume all of the risks existing in this activity.
I acknowledge that employees of Kannapolis and their representatives or agents have a difficult job to perform
in providing firing range and driving facilities, and recognize that while they seek safety, they are not infallible.
They may be unaware of physical or mental conditions of mine or other participants or our fitness to participate
in this program. Recognizing this, I release the City of Kannapolis, its agents, officers, volunteers, participants,
employees and all other persons or entities acting in any capacity on their behalf (herein after referred to as
Kannapolis) from any and all liability or responsibility for any claims, demands or causes of action in any way
connected with my participation in any activity held on municipal or third party properties, including the firing
range, and specifically including any such claims which allege negligent acts or omissions of Kannapolis. I
further agree to release, indemnify and discharge Kannapolis from any such demands or claim on behalf of
myself, my children, my parents, my spouse, my heirs, assigns, personal representatives and estate.
Should Kannapolis or anyone acting on either of Kannapolis behalf be required to incur attorney’s fees and/or
costs to defend claims made by made or on my behalf or to otherwise enforce this agreement, I agree to
indemnify and hold them harmless for all such fees and costs.
I certify that I have adequate insurance, either personally or through my employer, to cover any injury or
damage that I may cause or suffer while participating in activities on municipal or third party properties,
including the firing range, or in the alternative I agree to bear the costs of such injury or damage myself.
I agree not to be under the influence of any chemical substance or alcohol during my participation in this
activity and to abide by the rules established by Kannapolis while attending and participating in this activity.
If the program coordinator(s) recommend that I limit my participation in the physical activity portions of this
activity and I choose not to do so, I agree that by such action on my part I waive all claims I may have against
Kannapolis for any and all injuries or damages suffered by me during the activity, including claims of gross
negligence or willful misconduct.
In case of accident, Kannapolis and its agents have my consent to release all information and incident reports,
including medical information, to insurance companies or other agencies deemed appropriate by the City.
