Common use of Outerwear Clause in Contracts

Outerwear. Depending on the weather, you may choose to wear a navy blue or dark- colored jacket. These should not display logos or slogans, and hooded sweatshirts are not to be worn. Footwear: Dark-colored, closed-toe shoes are obligatory. Open-toed shoes, sandals, clogs, crocs, or backless footwear are strictly prohibited. Please be aware that we retain the right to refuse or restrict access to the ambulance at our discretion. Your adherence to these guidelines is greatly appreciated. I comprehend and affirm that adherence to the aforementioned guidelines is imperative for participation in my ride-along. I am fully aware that failure to comply with these guidelines upon arrival will result in my exclusion from the ride-along. Moreover, I acknowledge that punctuality is of the essence, and any tardiness for the shift will preclude me from completing the ride-along. Initial: I hereby affirm and acknowledge that I have willingly submitted a request for the privilege of participating as a guest observer with ▇▇▇▇▇. I voluntarily express my desire to encounter the inherent risks associated with ambulance transport and healthcare activities. I knowingly accept the responsibility for any potential injuries and explicitly absolve ▇▇▇▇▇ from any liability in this regard. I recognize that I have entered into this agreement of my own volition, without any form of coercion or undue influence, and solely in consideration of the educational insights to be gained from observing the actions of Falck employees. Initial: I hereby formally recognize the potential existence of inherent risks associated with my participation in ride-alongs and accompanying clinical crews. I am fully aware that the operations and functions of the ambulance service can, on occasion, entail certain dangers, encompassing the possibility of personal injury, damage, financial implications, or loss to both individuals and property. Consequently, I explicitly absolve the officers, agents, and all other personnel associated with Falck from any responsibility or liability in this matter. Initial: It is additionally comprehended that, in no event, shall the officers, agents, or personnel of ▇▇▇▇▇, incur any liability or assume responsibility towards the undersigned, their estate, heirs, beneficiaries, or successors, for any injuries sustained by the undersigned, or any damage to their personal or real property, during the course of their participation in ride-alongs with ▇▇▇▇▇ personnel, while engaging in authorized medical and other care activities, as delineated within the confines of this ride-along agreement. Initial: Consequently, upon the execution of this agreement, ▇▇▇▇▇ shall extend the privilege of riding in a ▇▇▇▇▇ vehicle alongside ▇▇▇▇▇'▇ clinical crews. I hereby acknowledge that by signing this agreement, I absolve ▇▇▇▇▇ of any liability pertaining to physical injuries, property damage, or loss of life, resulting from my own negligence, the negligence of any third party, or even an employee of Falck. Initial: I acknowledge that, in order to be scheduled for my ride-along with ▇▇▇▇▇, I am obligated to furnish the following items. Failure to do so may result in a scheduling constraint: a copy of my California License (both front and back), as well as any applicable medical licensure documents. Initial: Name: Date: Signature: Parent/Guardian Name (if under 18 years of age): Parent/ Guardian Signature: Phone Number: Email Address: Residence Address: Name: Relationship: Phone Number: Email Address: Preferred Station: ❏ Hayward ❏Livermore ❏Oakland Day or Night Shifts: ❏AM ❏PM Name of Applicant: Email Address: Phone Number: Driver’s License Number: Mailing Address: City: State: Zip Code: Program Name: Program Director’s Name: Email: ❑ Driver’s License ❑ ACLS Card ❑ PALS/PEPP Card ❑ CPR Card ❑ EMT State Credential ❑ PHTLS Card ❑ Letter from the program director requesting the internship ❑ Bank or Cashier’s Check for $1500.00 Please email the completed application and all required attachments to: Yes ❑ No ❑ Yes ❑ No ❑