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2. Citizen Ride-Along Request Form
3. 
5. Thank you for your interest to participate as a Citizen Ride-Along with our department. If selected, we hope you will enjoy this unique learning experience as you accompany the members of our department during the course of their daily duties. Unfortunately, law enforcement is a profession which is unpredictable in the sense you cannot generally forecast which duty shifts may be busy or not as busy, eventful or uneventful.

   Your safety is of paramount concern to us during the time you would be riding with an officer.  You will not be asked to do anything but observe.  Every attempt will be made to make your ride as safe as possible so it is imperative that you as an observer:

   
   

   1. Dress appropriately. Casual attire is acceptable, however, no shorts, tank tops or tee-shirts are permitted and if any clothing is deemed inappropriate, the on-duty supervisor may cancel the ride-along.
   2.  Remain under the complete control of the assigned officer and shall comply with all directions and requests.
   3.  Do not interfere with investigations in any way by conversing with victims, suspects or witnesses, handling evidence or law enforcement equipment or participating in any law enforcement activity unless directed to do by the assigned officer.
   4.  Should you wish to cease participation in the Ride-Along at any time, the officer shall return you to the point of origin as soon as possible.
9. I have read the above information concerning the Citizen Ride-Along and agree to abide by the rules of conduct expressed.
10. Electronic Signature Required*

    1. Yes
11. Date*
    Date
13. ***YOU MUST PROVIDE A COPY OF YOUR DRIVER’S LICENSE OR STATE ID.***
14. Upload Driver's License or State ID Here*
18. Name*
19. Date of Birth*
    Date of Birth
20. Address*
22. Phone Number*
23. Best Time to Call*
    Best Time to Call
24. Email Address*
26. I would like to Ride Along on*
    I would like to Ride Along on
27. Accompanying Officer
28. For the following reasons*
30. Citizen Release and Waiver

    KNOW ALL BY THESE PRESENT, that I, on my own behalf and on behalf of my heirs, next of kin, executors, administrators, estate agents and assigns, and representatives of any nature whatsoever, for and in consideration of the authorization and permission to accompany officers or any officer of the department during the course of their or his duties, which has been granted to me at my voluntary request, after having been fully advised of the potential hazards of such activity or activities, do hereby WAIVE AND RELEASE all demands, damages, actions, causes of action, suits and claims of any nature whatsoever, whether in law or in equity, that I or my heirs, next of kin, executors, administrators, estate, agents and assigns, and representatives of any nature whatsoever might otherwise have against the Village of Richton Park, the Richton Park Police Department, and each and every officer, official, member, employee, agent and attorney thereof and therefore, and his or her heirs, next of kin, executors, administrators, and estate, on account of my death or injuries, both to person and to property, whether foreseeable or not, which may occur, directly or indirectly, or develop at anytime in the future as a result of my activities or association with the police department, whether in a police vehicle, in the police station, or otherwise associated with the police department, it’s officers and officials thereof in any manner whatsoever.

    It is expressly agreed and understood that this WAIVER AND RELEASE shall apply for the express purpose of precluding forever all claims, suits, demands, damages and causes of action that I or my heirs, next of kin, executors, administrators, estate, agents and assigns and representatives of any nature whatsoever might otherwise assert against any of the aforesaid parties as a result of my association and activities with the police department on this requested date. 

    I hereby declare that the terms of this WAIVER AND RELEASE have been fully read and understood by me, and freely and voluntarily entered into and accepted by me, and I hereby acknowledge receipt of a copy of this agreement.

    In further consideration of the aforesaid authorization and permission granted to me to accompany an officer or officers of the police department at my own request, I hereby promise and agree to fully comply with all instructions given to me for the purpose of protecting my personal safety and that of my property.

    IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of request.

32. Electronic Signature Required*

    1. Yes
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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

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