LOS SANTOS
-
Kailyn Charles
- Posts: 10
- Joined: Sat May 16, 2020 9:41 am
- Badge Number: 123
- Primary Assignment: N/A
By Kailyn Charles -
- Sat Aug 01, 2020 9:08 am
#205600
LOS SANTOS POLICE DEPARTMENT
Field Ride Along Application
Personal information
Title: Miss
Forename: Anfisa
Surname: Agafya
Date of Birth: 04/NOV/1993
Address: N/A
City: N/A
State: N/A
Phone Number: 88486097
Gender: F
Race: Caucasian
Occupation: Cashier
Have you ever been convicted of a crime?:
Applicant's Signature: Agafya
Date Signed: 01/AUG/2020
LOS SANTOS POLICE DEPARTMENT Field Ride Along Application
Title: Miss
Forename: Anfisa
Surname: Agafya
Date of Birth: 04/NOV/1993
Address: N/A
City: N/A
State: N/A
Phone Number: 88486097
Gender: F
Race: Caucasian
Occupation: Cashier
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: Agafya
Date Signed: 01/AUG/2020
