Please read over the application carefully, fill out completely, and return it as indicated on the "Ridealong Page".
You will be asked to provide a written signature on your application at the time you arrive for your ride along.
Please use the following format: Last, First, Middle
Include any apartment numbers or other specifics.
In order to protect your personal information, such as social security number and date of birth, you will contacted by a member of the Newport News Police Department staff.
The primary phone number where you can be reached, including the area code.
Work phone, including area code, if applicable.
Your e-mail address
Ride Along Applicants are required to wear body armor during the ride along. We are also requesting your waist size measurement. If you would prefer to be measured by a trained professional you may set up an appointment to be measured during regular business hours. [(757) 926-3034 or 3038]
Indicate your waist size (in inches).
Shift you prefer riding during.
*Please note that shift start and end times may vary with the police precinct you choose.
South = S; Central = C; North = N
Precinct you prefer riding in.
Between May and September, applicants are offered the choice of riding along with the Marine Unit. The times and dates for this activity are set by the Unit Commander, and are assigned to the applicant, contingent upon staffing, weather and safety considerations.
Please indicate any additional information you feel should be included (such as specific dates you will be traveling to the area.)
Person to notify in case of an emergency.
Please list the address, city, state, and zip of your emergency contact.
The primary phone number for your emergency contact. (Include area code)
I have read and understand the conditions of this Ride Along program. I acknowledge that law enforcement is an inherently dangerous and unpredictable activity, and that the City and its employees and agents, including police officers whom I accompany, are not insurers of my safety.
I realize that as an inherent condition of this program, I may, at unpredictable times, be placed in foreseeable and/or unforeseeable positions of considerable danger. I further acknowledge and accept the risks of my decision to accompany one or more police officers during their work, which may include unexpected events and occurrences, and dangerous and serious risks, including but not limited to: emergency or high speed pursuits, confrontations with violent and/or armed citizens, being verbally abused, being involved in a traffic/boating accident, being shot, being taken hostage, being sprayed with OC or Pepper Gas, being beaten, being bitten, being cut or stuck by a sharp weapon, and/or being killed. I understand that police duties may involve emergencies or danger that cannot be avoided. At the discretion of the officer or the officer's chain of command, I may be temporarily left alone without supervision or protection. I am aware that in riding along, I have assumed the risk of becoming injured or killed. With full knowledge of the above, I hereby voluntarily assume all risk or loss, damage, and injury to me and my property, including death, which may be sustained while I am a passenger in any City vehicle, including any police department vehicle (to include watercraft), or which is incidental to my accompanying one or more Newport News Police officers while on-duty, either inside or outside of any vehicle, building, or structure, or at any other place or location..
This acknowledgment and assumption of risk form shall be in full force and effect on the date hereof, and on any occasion when I may hereafter accompany any officer or officers of the Newport News Police Department and shall be binding upon me and my heirs, executors, administrators, and personal representatives. I also acknowledge by my signature that I have read and understand the Department Ride Along Program Application Procedures listed on the corresponding page.
I have the read the "Waiver of Liability" clause above, and by signifying "yes" here I accept the conditions.
By setting my full, printed name to this document, I signify I have read the application and corresponding pages, and understand them. My submission of this application is tacit approval for the NNPD to do the background check necessary to process my application for ride along.
Please type in your full name, including any titles (IV, Sr., Jr., etc.) in the format: First Middle Last, Title.
NCIC check done by:
Field Operation Commander's Initials.
At the time of the Ride Along, the on-duty supervisor will record the following information on the application: 1. Name of the Officer with whom the citizen rode; 2. The date of the ride along; 3. The time the ride along started and ended; 4. The signature of the on-duty supervisor; and 5. Any comments regarding the process, citizen, or assigned officer.
* indicates a required field