(You must be 18 years of age and a resident of the City of Goose Creek to apply.)
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Date of Birth  | 
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Reason for Application?  | 
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I understand that my request to participate in the ride-along program is contingent upon the suitability of my background which will be  | 
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investigated by agency personnel to include a check of local records and any records available by way of the National Crime Information  | 
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Center (NCIC). I further acknowledge and agree:  | 
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1. That I am aware that the work of the Police Department is inherently dangerous, and that I may be subjected to the threat of death  | 
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or personal injury, or damage to my property, by accompanying a member (or members) of the Police Department during the  | 
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performance of their official duties, and that I freely, voluntarily, and with such knowledge assume the risk or death, personal injury,  | 
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or property damage arising from, or in any way connected with the use of weapons, unlawful acts, or forcible resistance by law  | 
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violators, assault, riot, breach of peace, vehicle accidents, fire, explosion, gas, electrocution, or the escape of radioactive substance  | 
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while accompanying a member (or members) of the Police Department during the performance of their official duties.  | 
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Liability  | 
2. That the City of Goose Creek, Chief of Police, his sureties, all members of the Goose Creek Police Department, their sureties, and  | 
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department during the performance of their official duties resulting from any negligent act or omission on the part of any member of  | 
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each of them shall not be responsible or liable for any injury, damage, loss, or expense, either to me or my property, incurred while  | 
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riding in any vehicle assigned to the Goose Creek Police Department, or while accompanying any member (or members) of said  | 
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of  | 
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the Goose Creek Police Department.  | 
And that during any and all time I am riding in any vehicle assigned to the Goose Creek  | 
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and Waiver  | 
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Police Department, I am in the status of a guest, and that my right, if any, for civil damages against the driver of the vehicle or any  | 
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other person legally liable for the conduct of the driver for death, personal injury, or property damage occurring during such time is  | 
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that provided in Section 56-9-10, et seq, of the South Carolina Code of Laws of 1976, as amended.  | 
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3.  | 
For myself, my heirs, executors, administrators, and assigns to defend and indemnify the Goose Creek Police Department, their  | 
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sureties and each of them, against any and all manner of actions, suits, debts, claims, demands, or damages, or liability or expense  | 
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of every kind and nature incurred or arising by reason of any actual or claimed negligent or wrongful act or omission of mine while  | 
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riding in any vehicle assigned to the Goose Creek Police Department while accompanying any member (or members) of said Goose  | 
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Creek Police Department during the performance of their official duties.  | 
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4. That my attire must be professional, provide proper coverage so as not to bring about undue attention, and free of detracting  | 
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imagery or verbiage and my behavior will remain dignified and professional (no conversing with parties to law enforcement action to  | 
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include victims, witnesses, prisoners, etc. unless authorized by the officer).  | 
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That I am under the absolute authority of the officer to which I am assigned and will not exit the police vehicle for any reason without  | 
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the officer’s consent unless an emergency exists or is imminent. I will refrain from handling equipment inside the police vehicle  | 
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unless specifically invited to do so.  | 
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6.  | 
That I may not utilize tape recorders, video recorders, cameras, or any other electronic devices during my tour.  | 
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My signature below verifies that I have carefully read and understand the contents of this document and sign the same of my own free will.