Citizens Academy

Citizens Academy

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Agreement & Waiver

The MADISON COUNTY SHERIFF’S OFFICE (the “SHERIFF”) conducts a course known as the “Citizens Academy”, open to local citizens in which citizens are exposed to all major aspects of the operations of the MADISON COUNTY SHERIFF’S OFFICE. The SHERIFF conducts classes on and off the premises of the MADISON COUNTY SHERIFF’S OFFICE, including particularly (but without limitation), class sessions at the Madison County Jail. In consideration for the privilege and benefits to be derived from participating in the Citizens Academy, the SHERIFF is requiring all participants therein to execute this waiver, release, and indemnification.

Participation in the Citizens Academy class sessions may involve physical activities such as, but not limited to, lifting, walking, riding, the discharge of firearms and will include risks such as falls, interaction with other participants, effects of weather, the physical conditions of the facilities, features and equipment located thereon, together with the inherent risks of being in close proximity to the discharge of firearms and the utilization of various items of equipment and other weaponry used by law enforcement personnel. Participant expressly assumes these and all other risks arising in any way out of Participant’s participation in Citizens Academy activities; including any transportation provided to, from and between such activities, and agrees to stop and request assistance if experiencing any symptoms or other conditions which would make it difficult or unsafe to continue; further understanding that Participant is solely responsible for their own health and safety. Participant understands that at all Citizens Academy class times, the privilege of their participation shall be governed by the SHERIFF (inclusive of SHERIFF’S deputies, officials, representatives, and employees) and Participant will abide by and follow any directions given by such SHERIFF’S personnel.

On behalf of Participant’s self, heirs, executors and assigns, Participant does hereby waive and personally assume any and all risks and liability for damages, losses, personal injuries, or death which Participant might suffer, sustain, or cause while participating  in any activities of the Citizens Academy. Participant does hereby release and forever discharge the MADISON COUNTY SHERIFF’S OFFICE, SHERIFF DAVID HARPER and his deputies, officers, agents, employees, representatives and other personnel (in their official and individual capacities), the County of Madison County, Florida, and/ or other premises and facilities utilized by Sheriff for Citizens Academy activities (collectively, the “Releasees”) from any and all claims, demands, actions, damages, or suits at law or equity of whatever nature which Participant has or may hereafter acquire against the Releasee as a result of Participant’s voluntary participation in the aforementioned activities and Participant hereby holds harmless and agrees to indemnify Releasees for all damages, attorneys fees and costs which may be incurred in defending any such demands, claims, actions and the like.

Agreement:

I certify that the statements made on this form and on my application are true and correct and have been given voluntarily.  I also understand that completing this application does not necessarily guarantee enrollment in a program/activity or for selection as a volunteer for the Madison County Sheriff’s Office. I understand that as part of my interaction with the Madison County Sheriff’s Office, I may learn confidential information that is related to the Madison County Sheriff’s Office that might include personnel matters, criminal investigations, criminal history, and other high profile public issues. I may also hear conversations, see written documents, or observe things that are not intended for public review. I agree to abide by the rules and guidelines set by the Madison County Sheriff’s Office. I agree that I shall not violate the confidentiality interests of the Madison County Sheriff’s Office or its employees. However, under no circumstances may I reveal confidential information except as required by law.

Finally, I grant full permission to the Madison County Sheriff’s Office to use any photographs, videos, or recording of myself while participating in the Madison County Sheriff’s Office program or volunteering for any purpose.

Typing your name and the date in the space provided will serve as your electronic signature and your agreement with all of the above listed statements. By submitting the form, I hereby acknowledge that I have completed the above information fully and accurately. I understand and give my permission to the Madison County Sheriff’s Office to conduct a background check to determine my suitability of admission into this program.