RELEASE OF LIABILITY, AGREEMENT TO GUIDELINES AND AGREEMENT TO A CRIMINAL HISTORY RECORDS CHECK
I, _________, acknowledge that accompanying Campus Safety Officers on their shift
during the course of official University of Denver business involves risk and I hereby assume all risk related to and arising
out of the applicant’s participation in the Program. In exchange for the applicant’s participation in the Program, I hereby
release and waive and agree to indemnify and hold harmless the University of Denver, its appointed and elected officials,
agents, and employees for, from, and against all claims, losses, liabilities, suits or demands for damages to persons or
property arising out of, resulting from, or relating to the applicant’s participation in the Program. I have read this release,
understand its contents, and by signing below, accept the terms of this release.
I understand and hereby agree to abide by all guidelines established above while conducting a ride-along with a
representative from the Division of Campus Safety at the University of Denver. I understand that failure to abide by these
guidelines is grounds for filing of any and all applicable Honor Code / Human Resources violations as well as any and all
applicable local, state and federal laws.
I affirm that I will not disclose, publish, or otherwise share any confidential information or any information related to
specific Campus Safety operations, protocols, or procedures that I may receive, either directly or indirectly, during my
I hereby grant DU Campus Safety permission to conduct both a City & County of Denver criminal history record check
and a state-wide check through the Colorado Bureau of Investigation (CBI). I affirm that the name and identifying
information printed on this form is true and correct.
Date: / /
Parent/Legal Guardian Signature (If Applicable): ____________________________________________________________
CAMPUS SAFETY USE ONLY:
AUTHORIZED BY: DATE: