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Ride-Along

Ride-Along Program Request for Consideration

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Personal Information

Your Name*
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Address

Emergency Contact Information

Emergency Contact Name

PREREQUISITES

The Vanderburgh County Sheriff’s Office Civilian Ride-Along Program was designed in an effort to show an understanding of how a law enforcement agency functions. It is an important tool to affect good relations between the community and its law enforcement agency. The following are required prior to participating:
  • Must be eighteen (18) years of age or older to participate with no felony arrests
  • Complete this form ten (10) days prior to the desired date of participation

Available Shifts

The Vanderburgh County Sheriff’s Office Civilian Ride-Along Program is limited to one eight (8) hour Ride-Along Session each calendar year. 1st Shift 0600-1400 hrs. (6:00 a.m. to 2:00 p.m.)
2nd Shift 1400-2200 hrs. (2:00 p.m. to 10:00 p.m.)
3rd Shift 2200-0600 hrs. (10:00 p.m. to 6:00 a.m.)


Please list two dates and times that you would love to participate in this program. An Operations Supervisor will contact you to advise of the date and time for the Ride-Along.
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Time
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Time
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WAIVER AND RELEASE AGREEMENT AND INFORMED CONSENT FOR VANDERBURGH COUNTY/VANDERBURGH COUNTY SHERIFF’S OFFICE CIVILIAN RIDE-ALONG PROGRAM

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INFORMED CONSENT FOR MEDICAL TREATMENT

Consent if expressly given, in the event of injury, for any emergency medical treatment, including, but not limited to, anesthesia and/or operation, if, in the opinion of the attending physician, such treatment is necessary.
Participant Name
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