REQUESTEE DETAILS
Full Name Leo Gromer
Date of Birth: 23/10/2005
Phone Number: 224-5486
Have you ever been convicted of a crime?: No
Date of Birth: 23/10/2005
Phone Number: 224-5486
Have you ever been convicted of a crime?: No
REQUEST DETAILS
Availability
Anytime
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
To see how you guys operate on daily basis.
Anytime
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
To see how you guys operate on daily basis.
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: Leo Gromer
Date Signed: 22/01/2024
Date Signed: 22/01/2024
