LOS SANTOS POLICE DEPARTMENT
OBSERVERS PROGRAM APPLICATION
1: Full Name :
4: Date of Birth:
6: Valid Driver's License:
7: Home Address:
3 Cox Way, Vinewood, Los Santos 44444
8: Phone Number:
9: Emergency Contact (if applicable):
Richard Peterson - 448.3464
10: Relationship to Emergency Contact (if applicable):
11: Concealed Carry Permit:
12: Reason for ridealong:
Experience how the PD operates on a day-to-day basis
AGREEMENT ASSUMING RISK ON INJURY, DAMAGE, OR DEATH
Whereas the undersigned, not being a sworn member, employee or agent of the Los Santos Police Department, has made a voluntary request for permission to ride as a guest or observer in a law enforcement vehicle at a time when such vehicle is operated and manned by members of the Los Santos Police Department and has further requested permission to accompany a member or members of said law enforcement department during the active performance of their official duties as peace officers.
WAIVER AND RELEASE OF CLAIMS; AND AGREEMENT NOT TO SUE
Now, therefore, be it understood that the undersigned hereby agrees that THE WORK AND ACTIVITIES OF THE POLICE DEPARTMENT ARE INHERENTLY DANGEROUS INVOLVING SUBSTANTIAL RISKS including the risk of death; personal injury, and/or property damage; such risks may be generated by individuals breaking, or suspected of breaking the law; by the apprehension, or attempted apprehension, of such individuals; by motor vehicles driven by peace officers or by others; or may occur in a truly limitless variety of ways; AND THAT THE UNDERSIGNED WILL BE EXPOSED TO SUCH RISKS BY ACCOMPANYING, OR PARTICIPATING IN, THE RIDE-ALONG.
Further, knowing all these risks, the undersigned nevertheless hereby agrees to voluntarily assume all risks, both known and unknown and to release and hold harmless all of the persons and entities named herein who, through negligence or intentional conduct, might otherwise be liable for damages.
Now, therefore, be it understood that the undersigned hereby agrees that the County of Los Santos, and city within the county which contracts with the County of Los Santos for law enforcement services, the Los Santos Metropolitan Police Department, the driver or owner of any automobile owned or operated by, or in the service of the County of Los Santos or contract cities, their sureties, and each of them, shall not be held liable or responsible under any circumstances whatsoever by the undersigned, his or her estate, or heirs, for any death, injury, expense or loss to the person or property of the undersigned, incurred while riding as a guest or observer in any Los Santos Metropolitan Police Department vehicle or while accompanying a member of said department during the active performance of his official duties as a peace officer. The undersigned agrees not to sue any of the above for any possible death, injury, expense, or loss.
THE UNDERSIGNED: HAS READ THIS RELEASE AND FULLY UNDERSTANDS ITS CONTENTS; IS AWARE THAT THIS RELEASE IS A WAIVER OF LIABILITY AND HAS SIGNED THIS RELEASE VOLUNTARILY.
Delta Mae Dawn