Form Center

2. If you have questions regarding this form, please contact our records division at 303-655-2300.

   Complete this form in its entirety. You will receive notification of your scheduled date and time within two weeks.

4. First Name*
5. Last Name*
7. Date of birth*
8. Phone*
10. Address1*
12. Address2
14. City*
15. State*
16. Zip*
18. Employer/School*
19. Occupation/Grade*
21. Have you ever been arrested for a felony or misdemeanor?*
    -- Select One --YesNo
22. If you have been arrested for a felony or misdemeanor, please explain when and where:
24. Reason for requesting a ride-along*
26. Check below the day of the week you desire to ride*

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
27. Check below the shift you desire to ride*

    There is a five hour limit for ride-alongs.

    1. Day shift: 0600-1600
    2. Swing shift: 1400-0000
    3. Night shift: 2100-0700
29. If you have a specific date, shift, and time in mind, please indicate this here
31. Please read and acknowledge the rules listed below

    Rules pertaining to ride-along participants:

    1. Participants must wear suitable attire while participating in the program. Suitable attire shall include slacks, jeans or other clean and neat looking pants, collared shirts, blouse or jacket and shoes. Ripped or torn pants, shorts, t-shirts, tank tops, or sandals are not allowed. Other clothing determined by the Field Supervisor as inappropriate will not be permitted.

    2. Due to the physical nature of participation in the program, participants must be able to walk without the assistance of a cane, walker, or other device and not require an oxygen tank to function normally.

    3. Participants will not store firearms in the police building or carry a firearm during participation in the Ride-Along. An exception is made for Law Enforcement officers who may carry concealed during the Ride-Along. Law Enforcement Officers shall notify the Field Supervisor prior to the start of the Ride-Along if they are carrying concealed.

    4. Participants will not become involved in any investigation, interview of suspects or witnesses, handling, collection or processing of evidence, handling of police equipment or operation of a police vehicle.

    5. Participants, including members of the media, are prohibited from entering the private dwelling of any person during the Ride-Along unless the homeowner and the assigned officer has given express permission. Active Law Enforcement Officers do not require this express permission.

    6. Participants are prohibited from audio recording, still and video photography, communicating with the news media, and/or posting live social media updates (Twitter, Facebook, Snapchat, etc.) during the Ride-Along without the approval from the Chief of Police. Participants who violate this rule may be disqualified from future participation in the program and be subject to civil litigation.

    7. Participants will follow the directions given to them by their assigned officer at all times.

    Each participant is urged to consult with his/her health care provider before participating in the Ride- Along Program. Each participant assumes all risks of Injury and/or disease if he/she participates in the Ride-Along.

    The applicant agrees that if medical assistance, including first aid, and/or ambulance services are necessary, the Police Department will arrange for the same. The applicant expressly consents and agrees to pay any and all costs incurred in connection therewith.

    The police officer who will be accompanying the applicant will discuss his/her duties and responsibilities insofar as time permits. If, however, an emergency should arise, the participant must immediately and without question comply with any orders or direction given the participant by the police officer.

33. Acknowledgement*

    1. I, the undersigned, have read the aforementioned Ride-Along Policy that governs the administering of and the participation in the Brighton Police Department Ride-Along Program, and agree to the conditions set forth therein and hereby knowingly and voluntarily sign this acknowledgement.
35. Please acknowledge the above rules by typing your name in the box below*
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field