REQUESTEE DETAILS
Full Name Fname Lname
Date of Birth: DD/MON/YYYY
Phone Number: ###-####
Have you ever been convicted of a crime?: Yes/No
Date of Birth: DD/MON/YYYY
Phone Number: ###-####
Have you ever been convicted of a crime?: Yes/No
REQUEST DETAILS
Availability
Insert Answer Here
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
General interest. I would like to get to know more of the local first responders and learn about the challenges, hazards, and rewards of the first responder's role in Los Santos.
Insert Answer Here
Why do you wish to go on a ride-along with the Los Santos Emergency Medical Services?
General interest. I would like to get to know more of the local first responders and learn about the challenges, hazards, and rewards of the first responder's role in Los Santos.
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: Willy Noff
Date Signed: 22/APR/2024
Date Signed: 22/APR/2024
