Fillable RENO POLICE DEPARTMENT RIDE-ALONG APPLICATION

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RENO POLICE DEPARTMENT RIDE-ALONG APPLICATION

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RENO POLICE DEPARTMENT RIDE-ALONG APPLICATION
Date you wish to ride-along Shift you wish to ride-along
First Choice
Second Choice
Days (7:45 am)
Swing (2:45 pm)
Graveyard (9:45 pm)
Name:
Sex:
Last First Middle
Address: City State Zip
Home/Cell Phones:
Emergency Contact Name: Phone:
Date of Birth: Age: Social Security Number:
Law enforcement affiliation (if any):
Reason(s) for requesting Ride-Along:
Have you been convicted of any crime:
Yes
No
If yes, please explain:____________________________________________________________________________
Have you ever been arrested:
Yes
No Do you have any gang affiliation? Yes No
If yes, please explain: ______________________________________________________________________________
Do you have a civil claim or lawsuit against any Reno Police Officers, the Department, or the City of Reno? Yes No
If yes, please explain:______________________________________________________________________________
Have you ever been treated for or been under a doctor’s care for any mental il
lness? Yes No
I certify that all information on this document is true and correct to the best of my knowledge and belief.
Signature
Date
• Attach
a copy of your Driver’s License. Picture ID is acceptable if you have no Driver’s License
• Limited background check is required for each Application
• The Reno Police Department reserves the right to grant or deny any applications within its discretion.
• Application is valid for six (6) weeks from date of approval, if approved.
• Please allow up to two (2) weeks for processing
�
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DO NOT WRITE BELOW THIS LINE
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� � � � � � � � � � �
Reviewed By:
Deputy Chief / Commander
Date
Disposition: Approved Denied
Sergeant/Watch Lieutenant:_______________________________
Date_____________________
Assigned to Officer Name: _________________________________
Signature of Officer _____________________________________ Badge# ________
Effective January 2018
NCJIS/NCIC(Wrnt/III) Tiburon CCW Gangs Date and initials
CITY OF RENO
RENO POLICE DEPARTMENT
RIDE-ALONG PROGRAM AGREEMENT
LIABILITY RELEASE AND EXPRESS ASSUMPTION OF THE RISK
* * ◊ * *
PLEASE READ THE ENTIRE CONTENTS OF THIS RELEASE BEFORE SIGNING, AS IT HAS
A SIGNIFICANT EFFECT ON YOUR LEGAL RIGHTS. THIS RELEASE IS INTENDED TO
PROTECT THE RELEASED PARTIES FROM ALL LIABILITY RELATED TO YOUR
PARTICIPATION IN THE RIDE ALONG PROGRAM.
This Liability Release and Express Assumption of the Risk (“Release”) is given in consideration of the City of
Reno, Reno Police Department, and its respective employees, officers, owners, directors, agents and affiliates
(hereafter collectively “Agency”) allowing Participant to voluntarily participate in the Ride-Along Program, it is agreed
on behalf of Participant and/or his or her child(ren), heirs, assigns and representatives (hereafter collectively
“Participant”) that:
1. Ri
de-Along Program Protocols: Participant acknowledges that he/she has received a copy of the Ride-Along
protocols from the Agency and that Participant expressly agrees to follow said protocols. Participant acknowledges that
participating in the Ride-Along Program may be inherently dangerous and includes, but is not limited to: (1) traveling to
and from government facilities; and (2) traveling with and accompanying an assigned Agency employee(s) as she/he
performs job duties. These job duties may include, but are not limited to, performing administrative duties, training
situations and responding to emergency and non-emergency criminal and police related incidents, all of which could place
Participant in potential hazardous and life threatening situations (hereafter referred to as the “Activity’). Participant
expressly agrees to keep any and all information the Participant encounters regarding medical related calls for service
and/or criminal investigations confidential as required by law. Participant shall be solely responsible for his/her own
safety and expressly agrees to follow all legal commands and instructions given by any Agency employee relating to
Participant’s engaging in the Activity. Participant acknowledges that he/she is not acting as an agent or employee of the
Agency while performing this Activity. Furthermore, Participant agrees that Agency is not responsible for damages to
any property or injuries to Participant or any third person(s) that Participant may cause while performing the Activity.
INITIALS
2. Notification of Risks: Participant agrees and understands that participation in a Ride-Along Program is
dangerous and may result in injury or death. Further, Participant recognizes that some of these risks include, but are not
limited to, injuries while traveling to and from the Activity, vehicle accidents, psychological trauma, post traumatic stress
syndrome, emotional disorders, death, slip and fall injuries, broken bones, injuries caused by weapons such as knives,
guns or other such items, cuts, abrasions, and exposure to disease, all of which may arise from participation in the
Activity. Participant recognizes that emotional and physical injuries are a common and ordinary occurrence of the
Activity. Participant hereby agrees to freely and expressly assume and accept any and all risks of property damage,
injury or death to Participant while engaged in the Activity. Further, Participant voluntarily elects to participate in the
Activity, and understands that he/she may cease participation in the Activity at anytime.
INITIALS
Ride-Along Agreement–Reno Police Department
Revised January 2018
Page 2 of 5
3. Assumption of the Risk and Hold Harmless: Participant assumes all risks which may be associated with and/or
result from involvement in the Activity, and agrees to hold harmless, release, defend and indemnify Agency of and from
any liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage or
injury, including death, that may be sustained by Participant while engaged in the Activity, including, but not limited to,
those injuries and damages caused by the negligence and/or breach of warranty, express or implied on the part of Agency.
INITIALS
4. Unconditional Release and Covenant Not to Sue: Participant agrees to forever discharge and release Agency
from any legal liability and agrees not to sue Agency for any damages or legal claims of any kind, which includes
physical injuries, emotional injuries, and property damages caused by or resulting from the Activity.
INITIALS
5. Medical Authorization: Participant authorizes Agency and/or its authorized personnel to call for medical care
for Participant and/or to transport Participant to a medical facility or hospital if, in the opinion of such personnel, medical
attention is necessary. Participant agrees that, upon such transport to any medical facility or hospital, the Agency shall not
have any further responsibility. Further, Participant agrees to directly pay all costs associated with such medical care and
related transportation and indemnify and hold harmless the Agency from these costs.
6. Forum Selection: Participant agrees that any and all disputes between Participant and the City arising from
engagement in the Activity, including any claims for personal injury or death, will be governed by the laws of the State of
Nevada, and exclusive jurisdiction thereof will be in the Court of competent jurisdiction located in the County of Washoe,
State of Nevada.
7. Severability and Enforceability: In the event that any section of this Release is found to be unenforceable, the
remaining terms and conditions shall be fully enforceable and this Release shall be binding to the fullest extent permitted
by law.
The rest of this page was intentionally left blank
Continued on the next page
Ride-Along Agreement–Reno Police Department
Revised January 2018
Page 3 of 5
8. Use of Media (Photographs/Audio-Video Recordings): Participant shall not engage in recording or
photographing of any kind during the Ride- Along unless otherwise agreed to by Agency in writing under
a
separate Agreement. Such use includes but is not limited to, photographs, audio recording, or video
recordings.
Participant agrees to indemnify and hold harmless Agency from any and all damages associated with
any invasion of privacy or other third party rights asserted for unauthorized use of such media. Participant shall hold
Agency harmless from any claims and demands of any person or persons arising out of or based upon injuries or
damages caused by use of said media or resulting directly from any act on Participant's part in connection with use of
the media or disclosure of photographs or video or audio recordings.
INITIALS
IT IS THE INTENTION OF THIS DOCUMENT TO EXEMPT AND RELEASE THE RELEASED
PARTIES FROM ALL LIABILITY OR RESPONSIBILITY WHATSOEVER FOR PERSONAL
INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH HOWEVER CAUSED, INCLUDING BUT
NOT LIMITED TO, THE NEGLIGENCE OF THE RELEASED PARTIES, WHETHER PASSIVE OR
ACTIVE. I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS LIABILITY
RELEASE AND ASSUMPTION OF THE RISK BY READING IT BEFORE I SIGNED IT.
PARTICIPANT INFORMATION IF PARTICIPANT IS 18 YEARS OF AGE OR OLDER:
SIGNATURE: DATE:
/ /
PRINT NAME:
STREET ADDRESS:
CITY/STATE/ZIP:
PHONE NUMBER(S):
PARENT/GUARDIAN INFORMATION IF PARTICIPANT IS UNDER 18 YEARS OF AGE:
PARTICIPANT NAME:
(Print Participant’s name)
RELATIONSHIP TO PARTICIPANT:
PARENT/GUARDIAN SIGNATURE: DATE: / /
PRINT NAME:
(Print Parent or Guardian name)
PHONE NUMBER(S):
Ride-Along Agreement–Reno Police Department
Revised January 2018
Page 4 of 5
RENO POLICE DEPARTMENT
RIDE-ALONG GUIDELINES FORM
The work and activities of law enforcement officers is inherently dangerous. Strict adherence to the following guidelines is
necessary in order to safeguard participants and to minimize the possibility of interference with normal Department
activities and obligations. Ride-Along program participants will:
1. Read and sign the waiver form, acknowledging understanding of and agreeing to adhere to the terms and
conditions of the ride-along. A copy of your PHOTO ID is also required to be submitted along with your
application.
2. Report to the Main Station at 455 E. 2nd Street at the time listed on the Ride-Along Application.
3. Present a neat and clean appearance and wear appropriate apparel, which will consist of pants, shirts with a
collar and sleeves. Dresses, skirts, t-shirts, tank tops, sandals, thongs, or high heels are examples of
unacceptable attire. Clothing or jewelry that could be offensive to the public, the department, or the city will not be
allowed. Tattoos that could be offensive will be covered during the ride-along.
4. Wear no headgear or clothing that could create a perception that the ride-along is a law enforcement employee.
This includes police logos, patches, badges, insignia, writings, words, phrases, or pictures, Sam Browne belt,
basket weave leather, flashlights, handcuffs, or any other police-related equipment.
5. Will not participate while carrying a firearm. This includes off-duty officers from outside jurisdictions. It does not
apply to officers from other agencies working an assignment in conjunction with our department.
6. Not possess or use cameras, video equipment, or other recording devices during the ride-along.
7. Provide the assigned officer with proper identification prior to the ride-along.
8. Provide for own meal during the ride-along if applicable.
9. Follow instructions of the assigned and other officers for your safety.
10. Not participate in any police action or act in a police capacity.
11. Not converse with prisoners, suspects, witnesses, victims, media personnel, or other persons contacted during
ride-along unless directed by the assigned officer.
12. Not interfere with assigned officer while he is conducting police activities. While you are encouraged to ask
questions, please do so at the appropriate time.
13. Wear safety belts at all times while the police vehicle is in motion.
14. Stay in the police vehicle unless otherwise instructed.
15. Any deviation from these guidelines or the assigned or another officer’s instructions may result in the immediate
termination of participation in the ride-along.
Ride-Along Agreement–Reno Police Department
Revised January 2018
Page 5 of 5
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RENO POLICE DEPARTMENT RIDE-ALONG APPLICATION

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Completed 16 February 2022

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