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William Whitefield
Posts: 44
Joined: Sun May 26, 2019 7:03 pm
Primary Assignment: N/A
#92096

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Aerial Ride Along Application
Personal information

Title:Mr
Forename:William
Surname: Whitefield

Date of Birth:06/NOV/1994
Address:32 Joshua Road,Grand Senora Desert,San Andreas.
City:Los Santos
State:San Andreas
Phone Number:7617353

Gender:Male
Race: Other
Occupation: Mechanic

Have you ever been convicted of a crime?:
  • [-] Yes
    [X] No
Do you have any psychological issues that may effect you while up in the helicopter?:
  • [-] Yes
    [X] No
Waiver and release of claim
As a condition precedent to being permitted to ride as a Ride Along Observer in an aircraft or aircrafts operated by any pilot 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:W.Whitefield.
Date Signed:23/June/2019