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Hereinafter "Rider"
(Include City, State, Zip)
I, a resident of the above address, am interested in observing the operations of the Carbondale Police Department in accordance with the Ride-Along Program. I understand that to observe such operations, it may be necessary for me to ride in patrol cars, observe the operation from within the Department, and participate in other police activities. I further understand that I may be placed in some potentially dangerous situations to me physically or to my property. I understand that some of these situations may be emotionally distressful or traumatic. I understand that the Carbondale Police Department will conduct a criminal history background check on me prior to allowing me to participate in the Ride-Along Program. I hereby agree to follow all of the policies and procedures of the Carbondale Police Department. I further agree that I shall follow the directions of the Carbondale Police at all times while I am engaged in ride-along activities. I understand that if I fail to follow these directions, the ride-along will be terminated and I will be prohibited from participating in the Ride-Along Program with the Carbondale Police Department. I hereby waive, release, discharge, and/or hold harmless the City of Carbondale, the Carbondale Police Department, and all of their agents, officers, officials, employees, and assigns from all manner of actions, causes of action, suits, debts, and sums of money, dues, claims and demands, in law or equity arising out of said ride-along, including but not limited to claims for physical injuries to me, damages to my property, or claims for emotional distress or trauma. I understand and agree that I shall be solely responsible for any and all damages arising out of my participation in said Ride-Along Program.
(Must be at least 15)
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
The City of Carbondale, through the City Manager's designee, is hereby authorized to make any review, inquiry, or investigation into my personal and criminal history through any investigative bureaus of its choice. I release all parties, including the City of Carbondale, the Carbondale Police Department, and their officials, officers, employees, or representatives, from any and all liability for any injury or damage that may result from furnishing any personal or criminal history.
I do hereby request the Carbondale Police Department, Southern Illinois University-Carbondale Police Department, Jackson County Sheriff's Department, Illinois State Police, Federal Bureau of Investigations, and any other law enforcement agency to release any and all information relating to my criminal record or history to the Carbondale Police Department or any other agency or employee of the City of Carbondale. I agree to release all parties from liability for any personal injury or damage that may result from furnishing the same to the City of Carbondale. I further agree to hold harmless any law enforcement agency or bureau which provides criminal record or history information pertaining to me to the City of Carbondale.
GUIDELINES
Ride-alongs are limited to one time per quarter.
You may not bring or carry any weapons while participating in the Program.
As you will be in the public as a participant in a Police Department program, we ask that you dress appropriately. The standard applied is “casual business attire”. If you are in doubt, please err towards more “business” and less “casual”. You should remain in the police car at all times unless the Officer with whom you are riding tells you that you may get out on a call. If the Officer doesn’t tell you – ask before you get out. You may always choose to remain in the car on any call. It is the Officer’s decision whether or not you may get out on a call, this is not directed at you personally, but is a judgment on the part of the Officer.
You may not enter private property without the permission of the property owner. If you are asked to leave the property by the property owner, you must do so. The Officer is allowed to enter the property by virtue of the owner calling and requesting police assistance. The courts have held that a property owner’s call to the police does not extend entrance permission to third parties brought by the police.
If you are a witness to a crime, you may be interviewed and asked to provide a written statement for the case file, and you may be called to court to testify.
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