REQUESTEE DETAILS
Full Name Kourtney LaFleur
Date of Birth: 24/MAY/1998
Phone Number: 373-1392
Have you ever been convicted of a crime?: No
Date of Birth: 24/MAY/1998
Phone Number: 373-1392
Have you ever been convicted of a crime?: No
REQUEST DETAILS
Availability
Most of the time.
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
I left LSEMS a while ago and I'd love to see what has changed since then.
Most of the time.
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
I left LSEMS a while ago and I'd love to see what has changed since then.
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:
Date Signed: 16/AUG/2023
Date Signed: 16/AUG/2023