Eclipse Government

Name: Elise De La Croix
Phone: 287-3081

Job:Unemployed
Criminal history: I have no criminal history
((Timezone relative to UTC)): UTC+2

By signing this form, you agree to the following terms and conditions:

• I will not interfere with the EMT doing their job.
• I will listen to the EMT's instructions at all times, unless it is to assist in their work.
• The EMT can stop the ride-along at any point at their own discretion.
• I will not bring any weapons.
• If I get injured, the LSEMS can not be held responsible, unless gross misconduct led to the injuries.
• While on scenes with police involved I will remain in the ambulance and will not communicate with anyone.
• I will show I possess common sense.

Signature:
Elise De La Croix

Dear Ms. Croix,

Thanks for your ride-along request. I'm Senior Paramedic with the LSEMS and am contacting you to schedule your ride-along.

Please let me know if you'll be available on 03/09/2018 at 13:00 PM((UTC)).

Regards,

Senior Paramedic Eleanor Quinn

Ride-along concluded and archived.