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Full Name of Ride-A-Long Passenger
Please input your full legal name
as it appears on your driver's license
Date of Birth
MM slash DD slash YYYY
Please input your permanent address
as it appears on your drivers license
Address Line 2
State / Province / Region
ZIP / Postal Code
Emergency Contact Name
Emergency Contact Phone Number
Ride-A-Long Date(s) and Time(s) Requested
This form must be submitted
at least 24 hours
prior to the requested Ride-A-Long date and time.
Read the following sections carefully and pay particular attention to each rule and policy outlined below. After reading and completing the form, sign your Consent to the Release and Indemnity Agreement and click submit.
Ride-A-Long Rules and Policies
I Agree to Abide by the Ride-A-Long Rules and Policies
Ride-A-Long passenger attire shall be business or business casual. Shorts, jeans, tank tops and sandals are not permitted. Collarless shirts are not permitted for males. Attire, including headgear, shall be free of slogans, phrases, or any advertising determined to be inappropriate or offensive to any person or persons, race, color, creed, ethnic origin, gender, age, or physical or mental disability.
Ride-A-Long passengers shall conduct themselves in a civil and professional manner and refrain from language or engage in acts that are offensive to any person or persons, race, color, creed, ethnic origin, gender, age, or physical or mental disability.
Ride-A-Long passengers shall be under the direct control of the police officer and not interfere with officers while performing their duties.
Ride-A-Long passengers are authorized to observe only. Passengers shall not perform police related duties or act unless directed to do so by a police officer. In an emergency, passengers may take appropriate action to protect themselves and/or officers.
Ride-A-Long passengers must be at least eighteen (18) years of age.
Ride-A-Long passengers must have never been arrested for or be currently under investigation for a felony offense by any law enforcement agency.
Ride-A-Long passengers may not accompany an officer into a residence/dorm without the permission of the occupant or authorized representative, unless their presence is required to assist the officer.
Passengers are not permitted to carry firearms while participating in a Ride-A-Long regardless of any license or permit issued to the passenger pursuant to the provisions of the North Carolina Concealed Carry Act or a similar act from another state or country. Exceptions will be considered for commissioned and retired law enforcement officers who are current with all N.C. state mandated training and who have current commission and law enforcement credentials in their possession.
Ride-A-Long passengers are not permitted to use any cameras, video or audio recording devices while participating in a ride-along.
A patrol supervisor or participating officer may terminate the privileges of a Ride-A-Long passenger without explanation.
This form must be submitted at least 24 hours prior to the requested Ride-A-Long date and time.
Release and Indemnity Agreement
I Agree to the Release and Indemnity Agreement
the above named passenger
, wish to observe officers of the University of North Carolina at Chapel Hill Department Police Department perform their duties. This observation will include riding in police vehicles with officers of the
UNC Chapel Hill Police Department
. These activities may include situations where I may suffer damage to my person or property.
I am freely and voluntarily requesting permission to participate in the Ride-A-Long Program. This program does not entitle me to, nor will I request, any compensation. I understand that permission to participate in this program may be revoked at any time. Submission of false information of any type will disqualify me from the program. A criminal background may disqualify me from the program.
I hereby release, hold harmless, and forever discharge the University of North Carolina at Chapel Hill, its employees and agents, from any and all liabilities, claims, demands, actions, and causes of actions whatsoever arising out of or related to any loss, property damage, or personal injury that may be sustained by me or to any property belonging to me, whether caused by the negligence of the University, its employees or agents, or otherwise in connection with any transportation.
I realize that there may be possible risks or damages associated with riding in a UNC Chapel Hill Police vehicle, including, but not limited to motor vehicle accidents. I agree to follow the instructions of the vehicle operator at all times.