CHEROKEE COUNTY SHERIFF’S OFFICE
APPLICATION FOR RIDE-ALONG PROGRAM AND LIABILITY RELEASE FORM

Complete and sign the front and back portions of this form

NAME:_________________________________   DOB:__________  SEX:_______   DATE:__________

ADDRESS:______________________________________________   PHONE #:___________________

NCDL #:________________________   SOCIAL SECURITY #:_________________________________

OCCUPATION:____________________________________   EMPLOYER:_______________________

WITH WHOM DO YOU LIVE?___________________________________________________________

LIST THREE REFERENCES: 
(1)__________________________________________________________________________________
		Name		Address			Employer			Home & Work number
(2)__________________________________________________________________________________
		Name		Address			Employer			Home & Work number
(3)__________________________________________________________________________________
		Name		Address			Employer			Home & Work number

WAIVER OF LIABILITY

I, _________________________________, as a participant in the Ride-Along program of the Cherokee County Sheriff’s Office, for and in consideration of the opportunity to ride with and observe a law enforcement officer in the performance of his duties, agree as follows:

(1)	I hereby waive for myself, my heirs, executors, administrators or assigns, any and all claims, demands, actions, or causes of action, against the Sheriff of the County his deputies, agents and employees and of the County itself, or whatever kind or nature may arise in any manner by reason of injury or damage to my person or property or both while I am riding in a patrol car, observing any operation, or participating in this program in any other manner.
(2)	I do hereby covenant and agree that I will never instigate any suit or action against the County Sheriff, his deputies, agents or employees for damages or loss or injury of any kind or on account of any damages, loss, or injury to my person or property or both which may arise in any manner while I am riding in a patrol car, observing any operation or participating in this program.
(3)	This agreement holds the Sheriff, his deputies, agents and employees harmless for any injury, including but not limited to claims for wrongful death, arising in any manner to me while participating in this program.
(4)	I do hereby covenant, agree, and understand that if I am not permitted to take part in any law enforcement action or assist or perform any law enforcement task or function unless specifically requested to do so by the deputy I am assigned to ride with.

I have read the foregoing waiver and covenant not to sue. I understand that it constitutes a formal legal document.

___________________________________________			_____________________________
     (Signature of Participant & Parent or Guardian, if applicable)				              (Date)

______________________________________________________		_____________________________________
                                             (Witness)						              (Date)	

READ THE EXCERPT FROM THE CHEROKEE COUNTY SHERIFF’S OFFICE POLICY BELOW AND SIGN IN THE SPACE(S) PROVIDED

1.	All persons authorized to ride in patrol vehicles will participate in a passenger/observer capacity only. Participants will not be permitted to take part in any law enforcement action, assist in conducting investigations, or perform any other law enforcement task or function.

2.	Participants are not permitted to operate any patrol vehicle, handle or possess firearms or other weapons, or use equipment issued by the Cherokee County Sheriff’s Office. Participants may use the communications system only in the event of an extreme emergency.

3.	All participants will wear civilian clothing while participating in the Ride Along program.

4.	Participants must be at least 18 years old, with the exception of the Explorers program, who must be at least 14 years old.

5.	Assignments will normally be limited to uniformed patrol units. Requests for other assignments must be reviewed and approved by the Sheriff or designee.

6.	Situations may arise that would expose the participant to undue danger, violence, or other hazardous condition. In such cases, the deputy will exercise discretion and will have the authority to temporarily leave the participant at a suitable location while responding to the call.

7.	Any person submitting a request to participate in the patrol ride-along program may be rejected if such participation would not serve the best interests of the Sheriff’s Office. Deputies having knowledge of facts or circumstances that would tend to show the person unsuitable for participation should advise a supervisor.

I have read the above policy and I understand that I am required to abide by its provisions at all times.

____________________________________________			________________________
	                         (Signature of Participant)						       (Date)

________________________________________________________			_______________________________
                            (Signature of Parent of Guardian)					       (Date)

________________________________________________________			_______________________________
		                   (Witness)							       (Date)

FOR SHERIFF’S OFFICE USE ONLY:

Background Investigation Assigned To:_________ Shift:__________ Car/Zone #:________________

Date/Time Assignment Begins:________________  Date/Time Assignment Ends:________________

NCDL Check Completed On:____________________, by __________________________________
					    (Date)				             (Signature)

Signature and Title of Approving Supervisor:_____________________________________________