Police.uccs.edu



RIDE ALONG PROCEDURES

Schedule the Ride-Along session at least one week in advance.

Complete the Waiver Agreement with all required signatures. Be sure to indicate the requested date and time of the ride along and your contact information.

Complete the Personal Information Sheet. The department will conduct an NCIC/CCIC and DOR check prior to granting permission for the ride along.

Email completed form to Lieutenant Garner at cgarner@uccs.edu

When arriving for your scheduled ride along:

Arrive at least 5-10 minutes prior to your scheduled time.

If the ride along is scheduled during regular business hours, report to the Public Safety Parking Desk on the first floor of the Public Safety building (located in the parking garage).

If the ride along is scheduled after business hours, call police dispatch using one of the red phones located outside the parking office.

If you have any question please email or call Lieutenant Garner

cgarner@uccs.edu

719-255-3924

UNIVERSITY OF COLORADO AT COLORADO SPRINGS POLICE DEPARTMENT Waiver and Release of Claims and Indemnity Agreement, Agreement Assuming Risk of Injury or Damage

WHEREAS, I being over the age of

eighteen (18) years and not being a member of the University of Colorado at Colorado Springs (UCCS) Police Department, have made a voluntary request to ride as a guest in a vehicle assigned to the UCCS Police Department, and to accompany a member or members of the University Police during the performance of their official duties, or to observe the operations of the UCCS Police Department within the confines of the Department of Public Safety building, and

WHEREAS, the Chief of Police, via authorized department supervisors, will consent to permitting a guest to travel in a vehicle assigned to his office and to accompany members of the Department during performance of their duties, or to observe or participate in the operations of the UCCS Police Department within the confines of the Department of Public Safety building, upon the conditions set forth hereafter: due to the public interest of having members of the community, including members of the press, educational and children’s groups in the community, wanting to become familiar with the operations, duties and nature of the UCCS Police Department.

NOW, THEREFORE, in consideration of the permission given to me to ride in a vehicle assigned to the UCCS Police Department and to accompany a member or members of said department during the performance of their official duties, and/or to observe or participate in the operations of the Police Department within the confines of the Department of Public Safety building, I do hereby agree:

1. That I am aware the work of the UCCS Police Department is inherently dangerous and I may be subjected to the risk of death or personal injury or damage to my property by accompanying a member or members of the Police Department during the performance of their official duties and that I freely, voluntarily, and with such knowledge, assume the risk of death, personal injury, or property damage arising from or in any way connected with the use of weapons, unlawful acts, or forcible resistance by law violators or suspected law violators, assault, riot, breach of the peace, fire, explosion, gas, electrocution, or the escape of radioactive substances while accompanying a member or members of the Police Department during the performance of their official duties.

2. That the Chief of Police, the University of Colorado at Colorado Springs, his sureties, all members of the UCCS Police Department, their sureties, and each of them shall not be responsible or liable for any injury, damage, loss or expense, either to myself or to my property, incurred while riding in any vehicle assigned to the UCCS Police Department or while accompanying any member or members of said department during the performance of their official duties, or observing or participating in the operations of the Police Department within the confines of the Department of Public Safety building, and resulting from any negligent act or omission on the part of any member of the UCCS Police Department.

3. For myself, my heirs, executors, administrators, and assigns to defend and indemnify the Chief of Police, UCCS Police Department, all members of the UCCS Police Department, their sureties and each of them, against any and all manner of actions, causes of actions, suits, debts, claims, demands, damages, liability,

or expense of every kind and nature incurred or arising by reason of any actual or claimed negligent or wrongful act or omission of mine while riding in any vehicle assigned to the UCCS Police Department during the performance of their official duties, or observing or participating in the operations of the Police Department within the confines of the Public Safety building.

4. I further acknowledge that I may have access to confidential information and agree that I will comply with the statutes of Colorado and all rules and regulations of the UCCS Police Department regarding dissemination of any and all information which I may acquire while working with the UCCS Police Department.

I hereby represent that I have carefully read and understand the contents of this document and sign the same of my own free will.

|Date | |Signature of Requestor |

| | | |

|Witness | |Signature of Parent or Guardian (if requestor is an |

| | |minor) |

PARENT OR GUARDIAN CONSENT

I/we, the undersigned, represent that I am/we are legally appointed or the natural guardian(s) of the above person who is under the age of eighteen (18) years: that he/she has signed the within and foregoing document with our full knowledge and consent; and that I/we join in the execution of the same and agree to the terms thereof and do hereby bind myself/ourselves and independently agree to the same terms and provisions for myself/ourselves and my/our heirs, executors, personal representatives, and assigns.

_____________________________________

____________________________________

Signature

Signature

Requested Date: __________________ ___

Scheduled Date: __________________ ___

Requested Time: _____________________

Scheduled Time: _____________________

Phone # where you can be contacted:

__________________________

|Completed Background Checklist | | |dispatcher initial here: ________ |

| | | | |

|__________________________________________ |__________________________ |

|Authorizing Supervisor (Print Name) |Title |

|_____________________________________________ |____________________________ |

|Signature |Date |

| | | | |

UNIVERSITY OF COLORADO AT COLORADO SPRINGS POLICE DEPARTMENT Personal Information Sheet for Ride Along Requestor

I. Instructions

It is important that every item is answered. If an item does not pertain to the individual requestor, the abbreviation

“N/A” (not applicable) must be entered in the blank space. Please type or print in ink. Incomplete personal information sheets cannot be processed and will be returned. The results of the ride along request are furnished to the Chief of Police and Director of Public Safety. The dissemination of information furnished on this personal information sheet or obtained through an NCIC/CCIC and DOR check will be governed by reasonable discretion.

AI. Authority to Release Information

I authorize representatives of the University of Colorado at Colorado Springs to make any and all appropriate inquiries regarding the information listed below. I hereby release the UCCS Police Department from any liability or damage which may result from furnishing the information requested.

Name (printed):

Signature:

Date

signed:

Personal Information

Name:

| | | |Last | |First |Middle |

|Aliases: | | | | | | |

| | | | | | |

|Address: | | | | | | |

| | | | | | | |

| | | | |

| | | | |

| | | | | | | | |

|Driver’s License #: | | |State: | |

| | | | | | | | | | |

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