Ride-Along Observer Program

I hereby request to participate as a “ride-along” observer with Spokane County Fire Protection District 9

I agree to strictly and immediately follow all directives from the officer I am assigned to, who will determine my level of participation during routine activities. During emergency response and during any planned contact with the public, I will be an observer only and will wear an orange “observer” vest.

I understand that in connection with my participation I may be exposed to situations which are extremely graphic in nature, both visually and verbally, and which are potentially dangerous.

I hereby release, discharge and agree hold harmless, for myself, my executors, administrators, heirs and assigns, Spokane County Fire Protection District No. 9, its employees and agents, from any and all liability for any loss, damage or injury to my person or property resulting from, arising out of, or occurring in connection with my participation in this program. This release shall not apply to any act or omission which constitutes either gross negligence or willful or wanton misconduct.

In case of serious injury I will be transported and treated by emergency personnel, and my “emergency contact(s)” will be notified. For minor injury I will determine the level/nature of my treatment (or parent/guardian if under 18).

Student/Participant Info

You are required to provide two emergency contacts. List two contacts below.

Incase of emergency, please contact:

OR

Authorizing Sponsor Info

IF PARTICIPANT IS A MINOR, A PARENT/GUARDIAN SIGNATURE IS REQUIRED