REQUESTEE DETAILS
Full Name Lilian Grey
Date of Birth: 17/JUL/2000
Phone Number: 218-8978
Have you ever been convicted of a crime?: Yes
Date of Birth: 17/JUL/2000
Phone Number: 218-8978
Have you ever been convicted of a crime?: Yes
REQUEST DETAILS
Availability
Tuesday and Thursday late evenings
Saturday through the day
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
My fiance works for LSEMS and I want to understand her work more and see the other side of the job. I've only been the recipient of the treatment, never got to see it administered first hand!
Tuesday and Thursday late evenings
Saturday through the day
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
My fiance works for LSEMS and I want to understand her work more and see the other side of the job. I've only been the recipient of the treatment, never got to see it administered first hand!
RELEASE & WAIVER
I, Lilian Grey; 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: 
Date Signed: 12/December/2024

Date Signed: 12/December/2024






