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Citizen Police Academy Application

  1. Gulf Shores Header
  3. Have you ever used a name other than the one listed above? *
  4. Have you ever been arrested or convicted of any criminal charge? *
  5. Do you have any medical conditions that limit your activities? *
  6. All applicants must be at least 18 years of age and preference will be given to individuals who live or work in the City of Gulf Shores. A background check will be conducted on each applicant. By clicking "I Agree" I certify that all information on the above application is complete, true and accurate. I authorize the Gulf Shores Police Department to conduct a background check based upon this information.The Gulf Shores Police Department reserves the right to deny entry to the program based upon findings of the background check.*
  8. The City of Gulf Shores Police Department is hereby authorized to make any review, inquiry or investigation into my personal and criminal history through any investigative bureaus of its choice. I release all parties, including the City of Gulf Shores, the Gulf Shores Police Department, and their officials, officers, employees or representatives, from any and all liability for any injury or damage that may result from furnishing any personal or criminal history.
  9. I do hereby request the Gulf Shores Police Department, to release any and all information relating to my criminal record or history to the Gulf Shores Police Department or any other agency or employee of the City of Gulf Shores. I agree to release all parties from liability for any personal injury or damage that may result from furnishing the same to the City of Gulf Shores. I further agree to hold harmless any law enforcement agency or bureau which provides criminal record or history information pertaining to me to the City of Gulf Shores.
  10. Click to Agree*
  12. In consideration of permission which I have received to accompany one or more police officers of the Police 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 police officers, 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 officer or officers of the Gulf Shores Police 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 Police Department police officer or officers.
  13. 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 Police Department police officers 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, officers, public officials, and persons herein designated, and their heirs, executors, administrators, personal representatives, assigns and successors in office.
  14. Confirmation: All approved applications will be contacted by email or phone.
  15. Leave This Blank:

  16. This field is not part of the form submission.