"Ride-Along Application / Waiver Form" - Town of Cheswold, Delaware

Ride-Along Application / Waiver Form is a legal document that was released by the Police Department - Town of Cheswold, Delaware - a government authority operating within Delaware. The form may be used strictly within Town of Cheswold.

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Download "Ride-Along Application / Waiver Form" - Town of Cheswold, Delaware

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TOWN OF CHESWOLD POLICE DEPARTMENT
RIDE-ALONG
REGULATIONS, APPLICATION, AND WAIVER FORM
Regulations
1.
The ride-along is an observer only, and should not become involved in or interfere with any situation,
either physically or verbally.
2.
Ride-alongs should be dressed in either business attire or neat, clean, casual attire. Jeans, shorts,
spandex, leggings, T-shirts and sweats are not acceptable.
3.
Participants will not be allowed to carry a weapon while on a ride-along, dispite current concealed
weapon laws.
4.
Cameras and tape recorders are not permitted.
5.
Ride-alongs will be allowed to observe as much of any situation as is possible, consistent with their
safety; however, they may not leave the police vehicle unless given permission to do so by the officer.
In compliance with a Supreme Court Ruling ride-alongs are prohibited from entering any private
residence for any reason.
6.
Ride-alongs must pay for their own food and beverages. If at all possible, they will be given an
opportunity to eat a meal; however, this will depend on the level of calls for service.
7.
The officer may terminate the ride if the participant fails to follow the regulations or is acting in a manner
inconsistent with the best interests of the police department.
8.
The participant may request that the ride be terminated at any time. The participant will be returned to
the station as soon as the officer determines it is practical.
WAIVER AND RELEASE OF CLAIM
As a condition precedent to being permitted to ride as a Ride-Along Observer in a vehicle or
vehicles operated by any officer or person employed by the Town of Cheswold Police Department,
Cheswold, Delaware, I the undersigned, waive any claim I may have against the Town of Cheswold
Police Department, Cheswold, Delaware, and the officers, agents and employees of Town for any loss of
life, bodily injury, property damage or any other claim whatsoever that I may sustain as a result of riding
as such Ride-Along Observer. I further agree that this waiver of liability by me is binding on my legal
representatives, heirs and successors, and shall have the same legal effect as I have agreed to herein.
SIGNATURE OF PARTICIPANT
PRINT NAME
SIGNATURE OF WITNESS
Please fill out the Application on the back page.
TOWN OF CHESWOLD POLICE DEPARTMENT
RIDE-ALONG
REGULATIONS, APPLICATION, AND WAIVER FORM
Regulations
1.
The ride-along is an observer only, and should not become involved in or interfere with any situation,
either physically or verbally.
2.
Ride-alongs should be dressed in either business attire or neat, clean, casual attire. Jeans, shorts,
spandex, leggings, T-shirts and sweats are not acceptable.
3.
Participants will not be allowed to carry a weapon while on a ride-along, dispite current concealed
weapon laws.
4.
Cameras and tape recorders are not permitted.
5.
Ride-alongs will be allowed to observe as much of any situation as is possible, consistent with their
safety; however, they may not leave the police vehicle unless given permission to do so by the officer.
In compliance with a Supreme Court Ruling ride-alongs are prohibited from entering any private
residence for any reason.
6.
Ride-alongs must pay for their own food and beverages. If at all possible, they will be given an
opportunity to eat a meal; however, this will depend on the level of calls for service.
7.
The officer may terminate the ride if the participant fails to follow the regulations or is acting in a manner
inconsistent with the best interests of the police department.
8.
The participant may request that the ride be terminated at any time. The participant will be returned to
the station as soon as the officer determines it is practical.
WAIVER AND RELEASE OF CLAIM
As a condition precedent to being permitted to ride as a Ride-Along Observer in a vehicle or
vehicles operated by any officer or person employed by the Town of Cheswold Police Department,
Cheswold, Delaware, I the undersigned, waive any claim I may have against the Town of Cheswold
Police Department, Cheswold, Delaware, and the officers, agents and employees of Town for any loss of
life, bodily injury, property damage or any other claim whatsoever that I may sustain as a result of riding
as such Ride-Along Observer. I further agree that this waiver of liability by me is binding on my legal
representatives, heirs and successors, and shall have the same legal effect as I have agreed to herein.
SIGNATURE OF PARTICIPANT
PRINT NAME
SIGNATURE OF WITNESS
Please fill out the Application on the back page.
Ride-Along Application
NAME
DATE OF BIRTH
RACE
SEX
AGE
(Please Print)
HOME ADDRESS
CITY, STATE, ZIP
SOCIAL SECURITY #
HOME PHONE #
BUSINESS NAME
BUSINESS PHONE #
IN CASE OF EMERGENCY NOTIFY:
PHONE #
RIDING TIME DESIRED: (CHECK ONE)
DAY SHIFT
EVENING SHIFT
MIDNIGHT SHIFT
ND
REPORTING TIME
DAY OF WEEK DESIRED
2
CHOICE
HAVE YOU PARTICIPATED IN A CPD RIDE-ALONG WITHIN THE LAST 12 MONTHS?
YES
NO
WHAT PROMPTED YOUR INTEREST IN THE RIDE-ALONG PROGRAM?
(Town of Cheswold Police Department Use Only)
TO BE COMPLETED BY CHIEF OF POLICE
COMPUTER CHECK MADE
NO RECORD
RECORD ATTACHED
(Date)
APPLICANT NOTIFIED
BY
DATE
DATE AND TIME SCHEDULED RIDE-ALONG
ASSIGNED TO OFFICER(S)
APPROVED
DISAPPROVED
TERMINATED
TO BE COMPLETED BY OFFICER
WOULD YOU RECOMMEND THE INDIVIDUAL BE ALLOWED TO RETURN FOR ANOTHER RIDE-ALONG?
YES
NO
EXPLAIN
CHIEF OF POLICE OR
LEIUTENANT SIGNATURE
DATE
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