Ride Along Request Form - San Diego Police Department Page 2
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1
2SAN DIEGO POLICE DEPARTMENT
RIDE-ALONG WAIVER AND RELEASE OF LIABILITY
For and in consideration of the permission granted to me, ____________________________________
(or to my child, ____________________________________), by the City of San Diego to accompany
officers of the San Diego Police Department while on patrol, on ____________ (date), I agree that:
1. Participation in the Ride-Along program is voluntary and I /my child freely choose to
participate;
2. I acknowledge that participation may include inherently dangerous activities. I understand that
police patrol involves, on occasion, extraordinary circumstances which may be hazardous to
person or property, and I assume and accept all risks associated with participation, including
bodily injury or death, or other loss, including damage to property;
3. Understanding that participation in the activity could involve potential risks of harm, not
limited to those specified above, I DO RELEASE, HOLD HARMLESS AND PROMISE
NOT TO SUE THE CITY OF SAN DIEGO AND THE SAN DIEGO POLICE
DEPARTMENT, ITS OFFICERS, EMPLOYEES, AGENTS, AND VOLUNTEERS,
WITH RESPECT TO ANY AND ALL SUCH INJURY OR LOSS, except that injury or
loss which results from the sole gross negligence or willful or wanton misconduct of one of
those individuals;
4. I FURTHER AGREE TO INDEMNIFY AND DEFEND THE CITY OF SAN DIEGO AND
THE SAN DIEGO POLICE DEPARTMENT, its officers, employees, agents, and volunteers,
FROM AND AGAINST ANY AND ALL LIABILITY INCURRED as a result of or in any
manner related to participation in this activity.
5. I understand that while on patrol I/my child may become a material witness to incidents or
events which form the basis for a criminal or civil proceeding. In this event, I/my child may be
required by subpoena to testify as a witness.
I AM AWARE THAT THIS CONTRACT IS LEGALLY BINDING AND THAT I AM
RELEASING LEGAL RIGHTS BY SIGNING IT.
I acknowledge by my signature that I have read and understand the terms that are set forth in this
agreement. I have entered into this agreement freely and without duress.
________________________________
______________________________
_______
Participant or Parent (Print Name)
Signature
Date
Page 2 of 2
Police Legal (PEF) 6/14/2010
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