RICHLAND TOWNSHIP FIRE DEPARTMENT RIDE-ALONG OBSERVER PROGRAM RELEASE
(UPDATED OCTOBER 2013)
In consideration of my receiving permission from the Richland Twp. Fire Department to enter upon the premises of any fire station or related entity, any other premises owned and/or operated and/or used by any fire station within the Richland Twp. And in further consideration of receiving permission from said Fire Department to participate in a Ride-Along Observer Program, wherein I will be riding in, on, or upon Fire Department apparatus, the undersigned hereby releases the Richland Twp. Fire Department, Richland Twp. Police Department, and any and all agents, officer, servants, employees, attorneys, or other representatives of foregoing from any and all liability, claims, demands, action, and causes of actions, whatsoever, arising out of or related to any loss, property damages, physical injury, contagious disease, or death that may be sustained by me while, in, on, or upon any premises, vehicles or apparatus owned, occupied, or used by the foregoing, or which may be sustained by me while at the scene of any real or apparent emergency situation requiring a response of the Richland Twp. Fire Department, or while commuting to and from the fire station(s) and other points.
I hereby certify that I am duly aware of the risk and hazards, including serious physical injury or death, inherent, upon participating in the Ride-Along Observer Program, that such risks and hazards may exist even in non-emergency situation, and being duly aware of risks and hazards, I hereby elect, voluntarily, to participate in the Ride-Along Observer Program. I hereby assume all risks of loss, damage, and/or injury, including death, that may be sustained by me or by any of my property while participating in the Ride-Along Observer Program.
This release shall be binding upon my relatives, spouse, heirs, distributes, next of kin, executors, administrators, and any other interested parties.