REQUESTEE DETAILS
Full Name Don Mozzarella
Date of Birth: 06/AUG/2023
Phone Number: Prefer to not have public!
Have you ever been convicted of a crime?: Yes
Date of Birth: 06/AUG/2023
Phone Number: Prefer to not have public!
Have you ever been convicted of a crime?: Yes
REQUEST DETAILS
Availability
Any time
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
To get a better idea of how the LSEMS works on a normal shift. I am employed at the LSPD, so the extent of seeing their work is on scenes.
Any time
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
To get a better idea of how the LSEMS works on a normal shift. I am employed at the LSPD, so the extent of seeing their work is on scenes.
RELEASE & WAIVER
I, The Applicant; of sound mind and body, voluntarily participate in the Los Santos Emergency Medical Services Ride-Along Program. I understand that there are risks, such as physical, or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, or death, which may occur from participating. Nonetheless, I assume all related risks, whether known or unknown to me.
I agree to hold the Los Santos Emergency Medical Services harmless from any and all claims, losses, or damage to my person which includes liabilities and costs as a result of my participation in their program.
I understand that the Los Santos Emergency Medical Services has the right to waive my right to their Ride-Along Program for any reason and at any time, especially if I were to violate the Regulations and Requirements they have set. With the following, I sign this application knowing that I am to adhere to the Terms and Conditions set by the Los Santos Emergency Medical Services.
I agree to hold the Los Santos Emergency Medical Services harmless from any and all claims, losses, or damage to my person which includes liabilities and costs as a result of my participation in their program.
I understand that the Los Santos Emergency Medical Services has the right to waive my right to their Ride-Along Program for any reason and at any time, especially if I were to violate the Regulations and Requirements they have set. With the following, I sign this application knowing that I am to adhere to the Terms and Conditions set by the Los Santos Emergency Medical Services.
Signature: Don Mozzarella
Date Signed: 02/AUG/2023
Date Signed: 02/AUG/2023