REQUESTEE DETAILS
Full Name Richard Strokah
Date of Birth: 28/March/2000
Phone Number: 4119474
Have you ever been convicted of a crime?: No
Date of Birth: 28/March/2000
Phone Number: 4119474
Have you ever been convicted of a crime?: No
REQUEST DETAILS
Availability
All times
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
II have put in an application with LSEMS and would love to go on some ride alongs to get the procedures down!
All times
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
II have put in an application with LSEMS and would love to go on some ride alongs to get the procedures down!
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: Richard Strokah
Date Signed: 19/January/2023
Date Signed: 19/January/2023