Citizen Ride-Along Waiver Citizen Event Ride-Along Please 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 WAIVER Events: (required) Benton City Daze Parade Fourth of July Parade Winterfest Parade Other: 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?Yes Parent/Guardian Name Parent/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...Submit Thank you, your submission has been received.