Ride Along Program | Application

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SA County Sheriff's Office
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Ride Along Program | Application

Postby SA County Sheriff's Office » December 18th, 2017, 8:41 pm

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Ride Along Program - Application


Before applying please read this topic.

To apply for the Ride Along Program, please complete the following application with the title "FIRSTNAME LASTNAME | Ride Along Application"


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[divbox=white][img]https://i.imgur.com/B5Txg6Y.png[/img][center][color=black][b]RIDE-ALONG PROGRAM APPLICATION[/b][/color][/center]
[b]I — PERSONAL INFORMATION[/b]
[b]1. Requestee Name:[/b]
[b]2. Home Address:[/b]
[b]3. Telephone Number(s):[/b]
[b]4. Date of Birth:[/b]
[b]II — REQUEST INFORMATION[/b]
[b]5. Availability:[/b]

[b]6. Reason for Ride-Along Request:[/b]
[list][*][/list]
[b]III — LIABILITY WAIVER[/b]
[b]7. Background Waiver[/b]
I hereby authorize the San Andreas County Sheriff's Office, its deputies, employees, or representatives otherwise, to conduct an intensive background inquiry regarding my character, reputation, and criminal history. I certify that the above submitted information is factual.

[list=none][b]Signature:[/b]
[b]Date of Signature:[/b][/list]

[b]8. Safety Waiver[/b]

I certify that I am physically fit to be taken on a ride-along, and have not been advised otherwise by a qualified medical San Andreas Fire & Rescue Employee

For and in consideration of the undersigned being given the opportunity of observing police operations and functions, by riding in a vehicle operated by a member of the San Andreas County Sheriff's Department, I hereby release and agree to hold harmless the County of Red County, the San Andreas County Sheriff's Department, their employees and agents, both personally, and as agents and employees, from any and all liability for any damage and injury, which I may receive while riding in or upon said motor vehicles and which I may receive while accompanying a San Andreas County Sheriff's Department member, regardless of the cause of such damage or injury, whether through negligence or otherwise.

This release of liability and agreement by me to the County of Red County, the San Andreas County Sheriff's Department, their employees and agents, shall apply to any right of action that might accrue to myself, my heirs and my personal representative. Further, I agree to assume all risks in riding in San Andreas County Sheriff's Department motor vehicles and in accompanying its officers and agents and I am fully aware that personal danger may be involved.

[list=none][b]Signature:[/b]
[b]Date of Signature:[/b][/list][/divbox]

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