LOS SANTOS
-
Krystal Nithercott
- Posts: 2
- Joined: Mon Jan 14, 2019 10:11 pm
- Primary Assignment: N/A
By Krystal Nithercott -
- Mon Jan 14, 2019 10:32 pm
#58327
LOS SANTOS POLICE DEPARTMENT
Field Ride Along Application
Personal information
Title: Mrs
Forename: Krystal
Surname: Nithercott Verbeek
Date of Birth: 25/MAR/1995
Address: 3361 Bay City Avenue
City: Los Santos
State: San Andreas
Phone Number: 8149821
Gender: Female
Race: Caucasian
Occupation: Entrepreneur
Have you ever been convicted of a crime?:
Applicant's Signature: -
Date Signed: 15/JAN/2019
LOS SANTOS POLICE DEPARTMENT Field Ride Along Application
Title: Mrs
Forename: Krystal
Surname: Nithercott Verbeek
Date of Birth: 25/MAR/1995
Address: 3361 Bay City Avenue
City: Los Santos
State: San Andreas
Phone Number: 8149821
Gender: Female
Race: Caucasian
Occupation: Entrepreneur
Have you ever been convicted of a crime?:
- [-] Yes
[X] No
As a condition precedent to being permitted to ride as a Ride-Along Observer in a vehicle or vehicles operated by any officer or person employed by the Los Santos Police Department, I the undersigned, waive any claim I may have against the Los Santos Police Department and the officers, agents and employees of the Los Santos Police Department for any loss of life, bodily injury, property damage or any other claim whatsoever that I may sustain as a result of riding as such Ride-Along Observer. I also promise I have read and I understand all of the Ride-Along regulations. I further agree that this waiver of liability by me is binding on my legal representatives, heirs, and successors, and shall have the same legal effect as I have agreed to herein.
Applicant's Signature: -
Date Signed: 15/JAN/2019
