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Www Beloitwi GovPolice Department Welcome to the City of Beloit Form

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Of being permitted to ride in a vehicle owned and operated by the City of Beloit or to accompany employees of the INDEMNIFICATION AGREEMENT. Furthermore while engaged in such activities I will make safety my primary concern and at all times use and implement proper procedures and precautionary measures. X Signature of Participant Date Signed Printed Name of Participant For Department Use Only Date of Ride-Along Employee Time of Ride-Along Approving Supervisor OWNED AND OPERATED BY THE CITY OF...

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