Create a Website Account - Manage notification subscriptions, save form progress and more.
I hereby give my permission to the OLMSTED TOWNSHIP POLICE DEPARTMENT and its employees to retain and distribute the attached photo and the information contained in this form to other first responder personnel, or media outlets for the sole purpose of identification and protection of the persons identified above in an emergency or crisis situation.
By CLICKING "YES", you are signing the release of information AND you are agreeing to the release terms posted above.
This field is not part of the form submission.
* indicates a required field