Ride-Along Release Form

The Draper City Fire Department (DCFD) Ride Along program is designed to provide an opportunity for students, members of the medical community, and on a limited basis, members of the community to observe the dynamic field of firefighting and Emergency Medical Services (EMS). This service is provided as a privilege at the discretion of the Fire Chief or their designee and may be revoked at any time and for any reason.

Ride-Along Application and Required Forms

Ride Along Form 2017-1

PROCEDURE FOR REQUESTING A RIDE ALONG

  1. Fill out the Application to the Ride Along Program. (includes Signed Release and Waiver form and Confidentiality Agreement form)
  2. Copy or picture of current Driver’s License or picture identification
  3. Signed Acknowledgement of Ride Along Program guidelines
    Minors, less than 18 years old must have a legal guardian sign agreeing
    to the guidelines.
  4. Fill out the Signed Release and Waiver on the form  - Minors, less than 18 years old must have a legal guardian sign the release
    and waiver.
  5. Fill out and sign the Confidentiality Agreement - Minors, less than 18 years old must have a legal guardian sign the
    confidentiality agreement.
  6. Minor Students affiliated with a school program must have the Affiliated Organization
    Acknowledgement portion of the Release and Waiver signed.

If you have any questions about the Ride Along Program or application please contact Draper City Fire Department's Executive Assistant Toni Newby at 385-557-2805.