Hold Harmless – City Of Florence

FLORENCE POLICE DEPARTMENT

HOLD HARMLESS AGREEMENT
Ride-Along Program

I do willingly participate in the City of Florence Police Department’s Ride-Along Program, in that I will be riding with City of Florence Police Officers, in City of Florence police vehicles while on regular patrol assignments. I do hereby agree, that while using the Florence Police Department’s facilities or while participating in the Florence Police Department’s Ride-Along Program, on or after this date, to hold harmless the Florence Police Department and the City of Florence, it’s agents and employees from any injury or damages sustained by me while using the Florence Police Department’s facilities or while riding in a City of Florence police vehicle. I also acknowledge that I assume responsibility for any accident or injury which may befall me while so engaged, and forever release the City of Florence, its Police Department, its agents and employees from any claim, whether it be based upon negligence, inadvertent or unforeseen incidents. I further represent that I understand all risks involved and agree that this HOLD HARMLESS AGREEMENT shall be binding upon my heirs, executors, administrators, and assigns.

RIDER’S INFORMATION

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Name *

Date

Race

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Address

Social Security Number

Preferred Shift

Occupation

Date you last rode with a City of Florence Police Officer

Reason for Requesting to Ride

Instructions for Participants(Riders) in the Ride-Along Program

Please read carefully. Your signature on this form signifies that you agree to adhere to the following conditions.

1. All Persons riding with officers of the City of Florence Police Department should be dressed in a presentable manner. The following is a list of acceptable dress:

Females – Casual business and shoes. NO DRESSES or SHORTS.
Males – Casual business and shoes. NO SLEEVELESS SHIRTS OR SHORTS. If the person riding is not dressed satisfactorily, the officer and/or their supervisor have the right to refuse or terminate the ride-along.

2. Persons riding are under the complete control of the officer at all times.

3. The rider shall not leave the police vehicle at the scene of any police activity or participate in any police activity unless directly requested by the officer.

4. Riders shall not converse with prisoners, suspects, victims, witnesses, or any other person contacted on police business unless requested by the officer.

5. Riders shall not interfere with the officer’s activities at any time. Although encouraged to ask questions regarding procedures and activities, it must be done at the appropriate time.

6. The shift supervisor will assign the rider to a “Host” officer for the Ride-Along.

7. The shift supervisor also may refuse the rider the opportunity to ride on any given day based on extenuating circumstances related to work conditions: shift shortage, weather conditions, etc...

8. Riders are allowed to ride three (3) times in a calendar year and not more than one (1) time during the same month. This requirement does not apply to Citizens Academy Graduates, active police officers from other agencies/departments, police officer’s spouse (Spouses do not ride with their own spouse), or Chaplains.

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Rider’s Signature:

Parent or Guardian:

Date

Witness:

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FLORENCE POLICE DEPARTMENT

Instructions for Participants(Riders) in the Ride-Along Program

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