Ride-Along Observer Program Release Form (Page 2 of 3) in pdf

Ride-Along Observer Program Release Form Page 2

General Order 1-3, Release

Page 2

I also agree to adhere to the following guidelines:

I will abide by any and all applicable rules and regulations of the Department.

I will not ride or attempt to ride or use or attempt to use, any Fire Department vehicle or

apparatus until such time as a duly authorized officer has reviewed with me the

procedures for riding or using same.

I also agree that I have no physical or mental handicaps that may affect me during my

participation in this program or which may be aggravated by my participation in this

program, except for the following:

________________________________________________________________________

Despite the Fire Department's knowledge of this disability or defect, I agree that their

continuing grant of permission for me to participate in this program shall not subject

them to any liability.

I also authorize and instruct the Prince George's County Fire Department or their

authorized representatives to notify the following person in case of any accident in which

I am involved while participating in this program or while I am commuting to and from

the fire station(s) or other points.

________________________________________________________________________

Name

Relationship

________________________________________________________________________

Address

________________________________________________________________________

Telephone

I have not been denied membership or career status in the Prince George's County Fire

Department for criminal record, background investigation, or medical reasons.

Ride-Along Observer Program Release Form Page 2