observer release form：观察员的形式释放.doc

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1、OBSERVERRELEASEFORMPleasePrintName:Phone#:LastFirstAddress:City:State:RideDate:RideTime:toZone#:Unit#:STATEMENTOFUNDERSTANDINGANDRELEASEANDHOLDHARMLESSInconsiderationofbeingpermittedtorideinanAlachuaCountyFireRescuevehicleanddirectlyobservetheoperationandprovisionofemergencyservicesbyAlachuaCoun

2、tyFireRescuetothepublic,andunderstandingandappreciatingtherisksofsuchparticipation，I,theundersignedagreeto:(1)ComplywiththeinstructionsanddirectionsofanyandallAlachuaCountyFireRescuepersormel3includingbutnotlimitedtothecrewIamridingwith,anyincidentcommander,oranyotherpersonwithlegalauthorityover

3、thescene,incidentormatter;and(2)Release,indemnityandforeversaveandholdharmlessAlachuaCounty,itsofficers,employees,andagents，fromanyandallharm,injury,illness,disease,loss,ordamagesofanykindthatIincur,sustainorwhichmayarise,frommyparticipationwithAlachuaCountyFireRescueinthisactivity・Thiswaiveriss

4、ignedthisdayof,20.SignatureofRider/ObserverSignature:ApparatusSupervisorDate:Time:Signature:DistrictChiefDate:Time:Signature:TrainingOfficerDate:Time:ACFR#003Revised10/00