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2. (Please PRINT all answers and provide copy of DRIVER’S LICENSE or ID. Applicant must be at least 16 years old)
4. First Name*
5. Middle Name*
6. Last Name*
8. Address*
10. City*
11. State*
12. Zip Code*
14. Date of Birth*
    Date of Birth
15. Gender*

    1. Male
    2. Female
    3. Other
17. Phone Number*
19. Email Address*
21. Driver's License Number*
22. State Issued*
23. Expiration Date*
    Expiration Date
25. Emergency Contact Name (First/Last)*
26. Relationship
28. Address*
30. City*
31. State*
32. Zip Code*
34. Please fill out the following information with your preferred day and time of the week
36. Day*

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. Saturday
    7. Sunday
37. Time of Day*
    Time of Day
38. Name of Officer you'd like to ride with
40. Alternative Day/Time*
42. Please state the reason you'd like a ride-along
44. Have you ever been on a ride-along with the Oviedo Police Department?

    1. Yes
    2. No
46. Are you related to an employee of the Oviedo Police Department?

    1. Yes
    2. No
48. If yes, please state their name
50. Do you have any needs that may require special consideration?

    1. Yes
    2. No
52. If yes, please explain
54. Parent/Legal Guardian Information

    This section is to be completed and signed by the legal guardian if the applicant above is under 18 years of age.

56. First Name
57. Middle Name
58. Last Name
60. Address
62. City
63. State
64. Zip Code
66. Phone Number*
68. Email Address*
70. Parent/Guardian Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
72. Electronic Signature
74. Date
    Date
78. LEGAL NOTE - Please read before signing

    This form must be completed and returned to the Oviedo Police Department. By signing this form, you are giving the Oviedo Police Department permission to complete a thorough criminal history check on you prior to the ride-along. Completing this form and returning to the Oviedo Police Department does not guarantee the applicant a ride-along. You will be contacted if your application has been approved or denied. During that contact, the time and date of the ride-along will be established. In addition to this form, you may be required to complete additional paperwork at the time of the ride-along. Ride-along applicants will be given a safety briefing at the time of the ride-along. Any questions regarding a ride-along or the application process should be directed to the Oviedo Police Patrol Administrative Assistant during regular business hours at 407-971-5703.

80. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
82. Applicant Electronic Signature*
84. Date*
    Date
88. Internal Use:

    Applicant - please do not fill this out

90. Community Policing Deputy Chief Approval
92. Date
    Date
94. Background Check

    Crime Analyst Initials

95. Date
    Date
99. OVIEDO CITY POLICE DEPARTMENT RIDE-ALONG WAIVER

101. ***PLEASE READ AND INITIAL THE FOLLOWING STATEMENTS. AFTER READING, SIGN THE WAIVER OF LIABILITY.  EVERY PERSON GOING ON A RIDE-ALONG MUST SIGN THE WAIVER. ***

103. Initial Here*

104.  I have voluntarily requested to ride as a passenger and observer in an Oviedo Police Department vehicle that will be operated by official Law Enforcement personnel while performing official duties as a peace officer. 

106. Initial Here*

107. I understand that the activities of the officer I am assigned to ride with may be dangerous, involving possible risk of personal injury and damage or loss of property. 

109. Initial Here*

110. I understand that I am to obey the commands of the officer at all times during the ride-along. I will not take any action that will inhibit the actions of the officer I am assigned to or that will jeopardize the officer’s and/or my safety. 

112. Initial Here*

113.  I understand that the equipment assigned to an officer and the vehicle in which I will be riding is for the purpose of aiding the officer in performing official duties only and I will not touch, utilize, or adjust any of the equipment in the vehicle or on the officer. 

115. Initial Here*

116. I agree that I will not take any photographs of any crime scenes or evidence found while with the officer, nor will I create anything on any personal recording device (such as a smartphone or digital camera) that could be considered a record which would need to be included in any officer’s report.

118. Initial Here*

119. I agree that I will not post anything regarding my ride-along experience to any social media websites of any kind without prior approval from the officer.

121. Initial Here*

122. I agree that I will not take any photographs of the officer without his or her prior approval.  

124. Initial Here*

125. I understand that failure to abide by the above requirements will result in immediate termination of the ride-along and can prohibit me from being considered for any future ride-alongs.

129. WAIVER OF LIABILITY

     Release of Claims against the Oviedo Police Department

131. For and in consideration of my being allowed to ride as a passenger and observer in an Oviedo Police Department vehicle for personal benefit, I do hereby release the City of Oviedo, the Oviedo Police Department, its officials, employees, agents, and assigns, individually from any and all civil liability including, but not limited to actions in tort, contracts and civil rights. I do further grant a general release for myself, my heirs and executors and waive, remise, and forever release the City of Oviedo and the Oviedo Police Department, its officials, employees, agents, and assigns from all claims which can or may ever be asserted as a result of injuries or damages, mental or physical, sustained by me while with the Oviedo Police Department or its officers, whether inside or outside the vehicle. I understand the terms of this waiver are contractual, legally binding, and are not mere recital. 

     The officer I have been assigned to ride with has given me a safety briefing and has given me an opportunity to ask questions that may clarify any requirements. 

133. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
135. Applicant Signature*
136. Date
     Date
138. Electronic Signature Agreement

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
140. Parent/Guardian Signature

     If Applicable

141. Date
     Date
145. Internal Use Only

     ***For Officer to Fill Out***

147. Rider's ID Confirmed

     1. Yes
     2. No
148. Type of ID Presented

     1. Driver's License
     2. ID Card
     3. Military ID
150. Known to Officer

     1. Yes
     2. No
152. Other
154. Officer's Name
155. Shift
157. Date of Ride-Along
     Date of Ride-Along
158. Time Began
     Time Began
159. Time Ended
     Time Ended
161. Would you want this person to ride with Oviedo PD again?

     1. Yes
     2. No
163. Comments
165. Officer's Signature
167. Supervisor's Initials
Leave This Blank:


169. 1. Receive an email copy of this form.
170. Email address

     This field is not part of the form submission.

171. Submit

* indicates a required field