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If you are under the age of 18, DO NOT fill out this online request form. Minors must pick up a ride along request form from the Farmington Police Department (900 Municipal Dr.) and return the completed form with their parent/guardian's signature.
Street, City, State, Zip Code
Briefly describe any contacts you've had with officers of the department in the last five years. (victim/suspect of crime, traffic ticket, accident, etc.)
Briefly describe the reason you're requesting to go on a ride-along.
I have received a copy of the Ride-Along Participant Requirements and Rules (located in PDF form on ride-along web page) and will comply with its contents.
By providing my electronic signature, I am certifying that the information I provided in this application is accurate.
Before participating in any activities with the Farmington Police Department, I acknowledge and affirmatively state that I:
1. Am fully aware that police activities can involve some danger and that I have a responsibility to carefully obey and follow all instructions given me by department employees and to exercise my own considered judgement to protect my safety during these activities.
2. Am in good health and physical condition and that I have fully revealed any health or physical limitations to the department through its employees.
3. Will not participate in any activity until I am sure I understand the instructions and am fully physically and mentally prepared to engage in this activity.
4. RELEASE the City of Farmington and its employees and agents from any liability or claim arising from damage or injury to me or my personal property arising from or occurring during any activities with the Farmington Police Department.
5. Have not participated in a ride along program in the past twelve months, except as provided in Farmington Police Department policy #299-05.
Month, day, year
This field is not part of the form submission.
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