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P:/PD Forms & Labels/Administrative Forms MPD 20.33 Rev 2/15 RIDE-ALONG PROGRAM As a courtesy to the citizens of this community, the Monument Police Department has established a policy of allowing a limited number of persons to observe operations of the Police Department. Please keep in mind that while participating as an observer, you will be under the direct control of your host officer at all times. Due to our concerns for your safety, the safety of our officers, and the safety of the citizens, which we are sworn to protect, we must place certain restrictions on this privilege. These restrictions are as follows: You must be at least 16 years-of-age to participate in the Ride-Along program. If under 18, agreement must be signed by parent or legal guardian. You will be required to maintain a neat, clean, and businesslike appearance. Please keep in mind that your appearance while in the company of our officers will be a reflection upon the Police Department. Under no circumstances may you be armed with a weapon. You shall not participate in any police activity or converse with any prisoner, suspect, witness, or any other person contacted on police business unless permission has been granted by your host officer. You shall not inquire as to why an officer handled a complaint as he/she did until after the completion of the call. Now that we have discussed the restrictions placed upon riders, we would like to familiarize you with certain procedures, which may help keep you safe and may assist the officers with whom you are riding. Become familiar with the operation of the radio linking you with dispatch – IT IS YOUR LIFELINE! Know your officer’s unit designation number. In case the officer is incapacitated, you need to know how to use the radio to call for help. Be self-sufficient. Keep in mind that the officer has important duties and should not have to be constantly concerned with your welfare. Make sure you understand what is, and is not expected of you. Enjoy yourself. We hope this will be a learning experience for you and give you an insight into the duties of a police officer. MONUMENT POLICE DEPARTMENT 645 Beacon Lite Road Monument, CO 80132 [PHONE REDACTED] Fax: [PHONE REDACTED] ---PAGE BREAK--- P:/PD Forms & Labels/Administrative Forms MPD 20.33 Rev 2/15 RIDE-ALONG APPLICATION I, in and for the consideration of the Town of Monument permitting me to ride as an observer in a Monument Police Vehicle, do hereby release and forever discharge and covenant to hold harmless, for myself and my heirs, personal representatives, administrators, successors and assignees, the Town of Monument and any of their officers, agents or employees, any and all officers from other agencies from any and all liability for any and all claims, demands, damages, costs, liabilities, losses, and causes of action, which may arise incidental to my participation in the Ride-Along program. I further understand that police activities, by their very nature, can and will in all probability, involve some danger. I hereby fully assume the risk for any of the potential dangers, which are associated with police patrol activities as a condition to being granted this privilege. I understand that the privilege and authorization of this Ride-Along may be withdrawn, and my participation terminated immediately, for any reason and at any time, if deemed necessary by the hosting officer or a supervisor. I warrant that I have read and understand both sides of this form, and that I am legally competent to execute this document. (This applies only to those 18 years of age or older.) Date Signature Date of Birth Address Phone Number Emergency Contact & phone number I am available on the following day(s) and PARENTAL PERMISSION AND AGREEMENT (Necessary for all persons under 18) I, am the parent or legal guardian of who is a person under 18 years of age. I have read and understand this document. has my permission to ride as an observer in a Monument Police vehicle as provided above. It is hereby agreed that I am a party to this document and that said agreement its binding upon me, said child, and any and all our legal heirs and successors of whatever kind. I further warrant that I am legally competent to execute this document. Date Signature Date Completed Officer Appvd by MONUMENT POLICE DEPARTMENT 645 Beacon Lite Road Monument, CO 80132 [PHONE REDACTED] Fax: [PHONE REDACTED]