Middletown Volunteer Fire & Rescue Co., Inc.
Ride Along Form

Full Name:____________________________________________________________
Date:_______________________________
 

Reason for ride along: ___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

Certifications (if applicable): ____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

 

Signature: ____________________________________________________________ Date:___________________

If under the age of 18, a parent/guardian's signature is required.

_______________________________________________________
Parent/Guardian's Name (please print)

___________________________________________________________________________________      
Parent/Guardian's Signature (if applicable)                          Date

Ride along must follow all SOPs and rules and regulations of a regular member.  Ride along is not to be in the fire station alone.  Ride along is for observation only and is only to act upon being told to do so.

Chief or Senior Officer __________________________________________________________

Ride Along Signature____________________________________________________________