Newark Police Department
Police Ride Along Program
Declaration of Assumption of Risk and Release of Liability
The undersigned, has made a voluntary request for permission to ride as a guest or observer in a Newark Police Department vehicle at a time when such vehicle is operated and manned by a member or members of said law enforcement department during the active performance of their duties as Police Officers.
The undersigned authorizes the Newark Police Department to verify that undersigned is not the subject of an on-going criminal investigation and is not involved in any civil litigation with the City of Newark by conducting a background and criminal history check prior to the "ride along."
The undersigned acknowledges the work and activities of said law enforcement department are inherently dangerous and involve possible risks of injury, death, and damage, or loss to person and property. The undersigned further understands said risks may arise from, but are not limited to, civil disturbances; explosions or shootings; assaults and/or batteries; vehicular collision; and the effects of wind, rain, fire, and gas, and undersigned freely and voluntarily assumes all of said inherent risks, whether or not they are listed herein.
No video, photographic, or recording devices are allowed without permission. Note taking is permitted. The undersigned agrees not to take any photographic or video images using any device, including a cellular telephone.
In consideration of my (the undersigned's) participation in the "ride along" program that is the subject of this agreement, the undersigned, and his/her parent or guardian if under the age of 18 years, hereby releases the City of Newark, its officers, agents, employees, and volunteers, and its police department, its officers agents, and volunteers from any and all liability arising out of the undersigned's said participation. The undersigned hereby voluntarily releases, discharges, waives, and relinquishes any and all actions or causes of action for personal injury, wrongful death, or damage to property or person occurring to him/herself arising as a result of the participation in said activity. IT IS THE INTENTION OF THE UNDERSIGNED, BY THIS INSTRUMENT, TO EXEMPT AND RELIEVE THE ABOVE NAMED PARTIES FROM LIABILITY FOR PERSONAL INJURY, DEATH, DAMAGE, AND EXPENSE OF LOSS TO PERSON OR PROPERTY CAUSED BY NEGLIGENCE.
The undersigned acknowledges that he/she has read the foregoing five paragraphs, is fully and completely aware of the potential dangers incidental to participating in the program, and is aware of the legal consequences of signing this release of liability.
Participant release: By typing your name in the box below and clicking on the submit button, you agree to the terms and conditions listed above and certify that you do not have any medical conditions which would preclude you from participating in this program.
Parent/Guardian release (required for participant under the age of 18 years): By typing your name in the box below and clicking on the submit button, you agree to the terms and conditions listed above and certify that your child or the child you have guardianship for does not have any medical conditions which would preclude him/her from participating in this program.