Ride-a-Long Application

Los Angeles County Sheriff's Department

Santa Clarita Valley Station - Ride-A-Long Application

Full Legal Name:*
Drivers License Number:*
Address:*
City:*
State:*
Zip:*
Phone:*
Email:*
Sex:*: Male Female
Race:*
Date of Birth:*

Choice #1:*: Date: Shift:
Choice #2:*: Date: Shift:
Choice #3:*: Date: Shift:
Reasons for taking this ride-a-long:

The required dress code for the Ride-A-Long is as follows:
Males: Collared shirt and slacks. (NO BLUE JEANS OR SHORTS)
Females: Dress, skirt and blouse or slacks and blouse.
(DRESSES AND SKIRTS SHALL BE OF SUITABLE LENGTH WHEN SEATED.)
By checking the below box, I authorize the Los Angeles County Sheriff's Department to initiate a Record Check prior to my acceptance on a Ride-A-Long. I accept the clothing standards set by the Sheriff's Department and I will wear the appropriate attire for the Ride-A-Long. I will also sign the Waiver and Release of Claims and Indemnity Agreement Form (Release of Liability) on the date of my Ride-A-Long.
Agreement:: I accept the terms of this application.
I do NOT accept the terms of this application.