SAN ANDREAS POLICE DEPARTMENT
RIDE ALONG PROGRAM
APPLICATION FORMAT
- 1: Full Name: Julia Vinziatti
- 2: Gender: Female
- 3: Ethnicity: African American
- 4: Date of Birth: 05/OCT/1995
- 5: Age: 27
- 6: Valid Driver's License: Yes
- 7: Home Address: 17 Northrockford
- 8: Phone Number: 3960000
- 9: Emergency Contact (if applicable): Evelyn McShane
- 10: Relationship to Emergency Contact (if applicable): Daughter
- 11: Concealed Carry Permit: No
- 12: Reason for applying: Assist PD/MD with BLS while on ride alongs.
AGREEMENT ASSUMING RISK ON INJURY, DAMAGE, OR DEATH
WAIVER AND RELEASE OF CLAIMS; AND AGREEMENT NOT TO SUE
WAIVER AND RELEASE OF CLAIMS; AND AGREEMENT NOT TO SUE
Whereas the undersigned, not being a sworn member, employee or agent of the San Andreas Police Department, has made a voluntary request for permission to ride along as a guest or observer in a law enforcement vehicle at a time when such vehicle is operated and manned by members of the San Andreas 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 sworn officers.
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 San Andreas 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 San Andreas Police Department vehicle or while accompanying a member of said department during the active performance of his official duties as a sworn deputy. 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.
SIGNATURE: Julia Vinziatti
DATE: 15/DEC/2022
