Citizen Ride-Along WaiverCitizen Event Ride-AlongPlease complete the Citizen Ride-Along Waiver in its entirety. ONLY Citizens ASSOCIATED with Benton Fire District 2 Members are allowed to participate in Parade Events on District apparatuses.CITIZEN RIDE-ALONG WAIVEREvents: (required)Benton City Daze ParadeFourth of July ParadeWinterfest ParadeOther:Other Event List Here:Participant Name (first, last): (required)Benton Fire 2 Members Name: (required)Participant Date of Birth (DOB): (required)Participant Phone: (required)Participant Mailing address:City, State, Zip Code:Participant E-mail:Is the participant a minor?YesParent/Guardian NameParent/Guardian Phone Number:Any Medical Conditions: (required)Signature/Full Name (Participant/Guardian): (required)Date: (required)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.