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Ride Along Request

The attached RIDE ALONG / OBSERVER STATEMENT OF PURPOSE must be filled out in its entirety and mailed, emailed or delivered to the Depoe Bay Fire District Administrative Assistant at 325 SW Hwy 101, Depoe Bay, OR  97341 prior to scheduling the Ride Along.

The Ride Along / Observer Statement of Purpose consent is an agreement between Depoe Bay Rural Fire Protection District, an Oregon rural fire protection district (“District”), and the person named below (“Observer”) entered on the date of scheduled Ride Along.

District has offered Observer the opportunity to ride along with firefighters, incident commanders, EMT’s, and paramedics in emergency vehicles to emergency medical, fire suppression, and hazardous materials (“hazmat”) incidents to observe District response to these incidents. (Observer must be a minimum of 16 years of age.)

Observer for him/herself, and by his/her parent or guardian if Observer is less than 18 years of age, has been informed that riding along in emergency vehicles and observing at the scene of emergency incidents involves a risk of personal and/or bodily injury and property loss.  This includes, but is not limited to, the risk of a collision involving the vehicle carrying Observer; the risk of acquiring infectious diseases from persons at the scenes of emergency incidents; the risk of injury from contact with heat, smoke, other toxic chemicals, and hazardous substances at the scenes of fire suppression and hazmat containment; the risk of injury from the activities of emergency personal and equipment operation at the scene of an incident; Observer’s own activities; and similar other risks.

Observer has satisfied him/herself that he/she is in physical and emotional condition that can withstand exposure to these risks. Observer represents to District by his/her signature that Observer has no physical or emotional condition that makes for probable injury to Observer or others or that may interfere with District employee’s response to the incident.  Observer understands and agrees that employees’ attention enroute and at the scene of an emergency incident will be directed primarily to incident response and that Observer must at all times keep a proper lookout and take proper precautions for his/her own safety.

Observer must be appropriately dressed for the fire service work environment.  You will be required to wear dark pants (no denim, spandex or sweat pants), sturdy work shoes and a long sleeved shirt.

All questions about the Ride Along should be directed to the Depoe Bay Administrative Assistant at 541/764-2202, option 2.

Ride Along Consent.doc