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2. 
4. GULF SHORES BUILDING DEPARTMENT
6. RIDE- ALONG / OBSERVER PROGRAM APPLICATION
8. Participants MUST BE 18 YEARS OF AGE OR OLDER
10. Requested Date*
    Requested Date
12. Please check any of the following applicable items:

    1. Live or work in Gulf Shores
    2. City of Gulf Shores Employee
    3. A Relative of a City of Gulf Shores Employee
14. Full Name
15. Race
16. Gender

    1. Male
    2. Female
18. Home Address
20. Phone Number
21. Date of Birth
23. Email
25. Employer
26. Driver's License #
28. Do you have any mental and/or physical impairments?

    1. Yes
    2. No
29. Have you ever been convicted of a Misdemeanor or Felony?

    1. Yes
    2. No
31. The reasoning for requesting a ride-along?
35. RIDE-ALONG / OBSERVER PROGRAM RULES
37. 1. Observers shall be under the immediate and direct control of the Building Inspector to which they are assigned and must obey direction at all times.
39. 2. Observers must wear a seat belt at all times while in the City vehicle.
41. 3. Observers must dress appropriately: "business casual" attire which is suitable for having public contact. Avoid: jeans, sweatshirts, flip flops, sandals, etc.
43. 4. Observers are not to engage in any on-site activity unless expressly directed to do so by the Building Inspector.
45. 7. If at any time during an observation period, the responsible inspector or the supervisor in charge determines that it is appropriate to terminate the observer's participation; the observer must immediately comply.
47. 8. It is advisable to bring enough money with you to purchase any food or refreshments you might want to consume while you are riding along. Generally, you will have the opportunity to take a short break and have a lunch period while you are with the Building Inspector. If you wish to eat or drink something during these times you are expected to pay for them yourself.
49. 9. Riders are observers and you will be under the direct supervision of a City of Gulf Shores Building Department employee. You must comply with all directions and orders given to you by any City of Gulf Shores Building Department employee. You are not to become involved in any incident, conversation, or altercations between City of Gulf Shores employees and the public.
51. 10. You are expected to conduct yourself in a civil, personable, and courteous manner at all times.
53. 13. You may not carry or use any audio recording device, any video recording device, or other camera while you are on a Ride Along.
55. 14. You may not carry or use any weapon while you are on a Ride Along.
57. Click to Agree*

    1. By checking this box, I agree to the terms of the Ride-Along / Observer Program Rules.
61. COVENANT NOT TO SUE, PROMISE TO RELEASE OF LIABILITY ADULT APPLICANT'S CONSENT
63. In consideration of permission which I have received to accompany one or more building inspector(s) of the Building Department, City of Gulf Shores, Alabama a municipal corporation, in the course of his or their duty. I, the undersigned, hereby release the City of Gulf Shores, its building inspector(s), public officials, officers, servants, employees from any and all liability, claims, demands, actions and causes of actions which I may hereafter have on account of any and all injuries to me or to my property, or my death, arising out of or related to any happening or occurrence while I am accompanying any inspector or employee of the Gulf Shores Building Department on duty, or incidental thereto, and for the same consideration, I promise to release, and covenant not to sue the said City and the said persons, and agree to forever hold them and such of them harmless from any such liability, claims, demands, action or causes of action. THE TERMS hereof shall be of full force and effect on the date hereof and on any other occasion when I may hereafter accompany any Gulf Shores Building Department inspector or employee.
65. I HAVE READ and understand the conditions of this program as stated above and hereby voluntarily assume all risk of loss, damage or injury to me or to my property, including death, which may be sustained while or incidental to accompanying one or more Gulf Shores Building Department inspector or employee while on duty. THIS RELEASE AND AGREEMENT shall be binding upon me and my heirs, executors, administrators, personal representatives and assigns, and shall inure to the benefit of the said City, inspector(s), public officials, and persons herein designated, and their heirs, executors, administrators, personal representatives, assigns and successors in office.
67. Print Name*
68. Date*
    Date
70. Applicant's Signature*
72. Confirmation: All approved applications will be contacted by email or phone.
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74. 1. Receive an email copy of this form.
75. Email address

    This field is not part of the form submission.

76. Submit

* indicates a required field