Chester Rod and Gun Club

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Action Shooting Range Qualification – HG and LG Dvpmt

2020 AS Certifications
AS Qualification Type
Range Safety Officer must check-off each item below, check off Pass or Fail and sign form below.

Action Shooting
HAND GUN Qualification Checklist

Hand Gun: Verified 1
Hand Gun: Verified 2
Hand Gun: Verified 3
Hand Gun: Verified 4
Hand Gun: Verified 5
Hand Gun: Verified 6
Hand Gun: Verified 7
Hand Gun: RSO Attestations
Hand Gun: Qualification Type
Hand Gun: Outcome
Hand Gun: Sticker Issued
Hand Gun: Input into SK-Net
Select Certifier's LASTNAME

Long Gun Qualification


Action Shooting
Long Gun/Shot Gun Qualification Checklist

Long Gun: Verified 1
Long Gun: Verified 2
Long Gun: Verified 3
Long Gun: Verified 4
Long Gun: Verified 5
Long Gun: Verified 6
Long Gun: Verified 7
Long Gun: RSO Attestations
Long Gun: Qualification Type
Long Gun: Outcome
Long Gun: Sticker Issued
Long Gun: Input into SK-Net
Select Certifier's LASTNAME
2020 NOT USED ASLG Re-Qual Certifications

RELEASE OF LIABILITY

ACTION SHOOTING LONG GUN/SHOTGUN AUTHORIZATION

I, do hereby state:

  1. I have read and fully understand all rules pertaining to the use of the Action Shooting Ranges located at the Chester Rod and Gun Club (CRGC).
  2. I am familiar with the safety procedures and rules of safe firearm handling.
  3. I agree to abide by all rules and regulations at CRGC; and, understand failure on my part to due so may result in revocation of these privileges.
  4. I agree that my participation in this activity/event, or any other activity/event/contest conducted by CRGC, is purely voluntary and represents a possible hazard to me due to the use of firearm equipment in a sporting endeavor.
  5. I assume all risk freely and hold all persons and/or businesses associated with this or any other event/contest I may participate in at CRGC, to be blameless in case of injury and/or death during this or any other event/contest.

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By selecting "I Accept" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and Chester Rod and Gun Club.

Acceptance
Range Safety Officer must check-off each item below, check off Pass or Fail and sign form below.

Action Shooting
LONG GUN/SHOTGUN Qualification Checklist

Verified 1
Verified 2
Verified 3
Verified 4
Verified 5
Verified 6
Verified 7
RSO Attestations
Qualification Type
Outcome
Sticker Issued
Input into SK-Net
Select Certifier's LASTNAME

© 2018-2020 Chester Rod and Gun Club. All Rights Reserved.

MENU
  • Home
  • Disciplines
    • Archery
    • Action Shooting USPSA
    • Steel Challenge
    • Clays Shooting
    • Pin Shooting
    • Pistol League
    • Junior Rifle and Archery League
    • American Legion Junior Program
    • Jr. Olympic Archery Development
  • Ranges
    • Range Closures
    • Range Hours
    • Range Rules
    • Indoor Ranges
      • Pistol Range
      • Archery Range
    • Outdoor Ranges
      • Shooting Ranges
      • Archery Ranges
  • Resources
    • Shop Logo Apparel!
    • Join the Club!
      • Schedule a CRGC Tour
      • New Membership
      • Membership Rates
    • Contact Us
      • Officers & Staff
      • Web & Membership
    • CRGC Calendar
    • News & Information
      • CRGC News Pulse
      • About CRGC
      • Frequently Asked Questions
      • Guest and Activity Fees
      • Members Meetings
    • Public Documents
      • CRGC Public Documents
      • NHWF Documents
  • Log In
  • 0 items