Ride-Along Request LSSD Adam PS

[Adam PS Hoshi]

RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME: Adam
    MIDDLE NAME: P
    LAST NAME: S

2. DATE OF BIRTH

• • DOB (DD/MM/YYYY): 12/09/2000
    Nationality: Indonesia
    Gender: Male

By signing this document, I acknowledge that the opportunity to participate in the Los Santos
Police Department Ride-Along Program is a privilege and that the assigned deputy, Sheriff, or his designee can discontinue my participation in the ride-along program at any
time.

Sincerely yours,
Adam PS
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