Dear KOG Friends and Family,

Vacation Bible School registration is now open!

Click here to view the current KOG COVID-19 GUIDELINES FOR VBS!

These are the guidelines from 2020 and will be updated as soon as we receive update guidance from the state. We will continue to follow all California public health guidelines.

Please don't hesitate to reach out with any questions or concerns! 

Amanda Pulos 
Director of Youth and Children's Ministry
kogkids@gmail.com
(714)604-3373

MEDICAL RELEASE STATEMENT AND WAIVER

I hereby authorize King of Glory Lutheran Church, into whose care Minor has been entrusted, to consent to medical or dental treatment or care for Minor under Section 6910 of the California Family Code.  The authority granted by this authorization includes the authority to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment, or hospital care under the general or special supervision and upon the advice of or to rendered by a physician or surgeon licensed under the Medical Practice Act and to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment or hospital care by a dentist licensed under the Dental Practice Act.  It is understood that this authorization is given in advance of any specific diagnosis or treatment being required, and is given to provide authority and power to render care which the aforementioned physician, in his or her best judgment may deem advisable.

I further authorize King of Glory Lutheran Church to receive physical custody of Minor under Section 1283 (a) of the California Health and Safety Code upon completion of any treatment, and I specifically instruct any treating health facility to surrender the physical custody of Minor to King of Glory Lutheran Church of Fountain Valley.   

RELEASE OF LIABILITY:

I understand the nature of the events and do hereby release, acquit, and forever discharge, on behalf of myself and Minor, King of Glory Lutheran Church, its sponsors, agents, servants, successors, heirs, executors, and administrators, from any and all claims, actions (or cause of action), or expenses whatsoever, which the undersigned now has or may hereafter accrue on account of or in any way growing out of any known and unknown, foreseen and unforeseen bodily injuries and property damage and the consequences thereof resulting or to result from any accident, casualty or event which has or may occur during activities sponsored by or under the auspices of said King of Glory Lutheran Church.

The authorization is given pursuant to Section 25.8 of the Civil Code of California and remains effective until revoked.

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited or limited the congregation of groups of people.

King of Glory Lutheran Church, Fountain Valley, Ca. (“the Church”) has put in place preventative measures to reduce the spread of COVID-19; however, the Church cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Church or Church-related activities could increase your risk and your child(ren)’s risk of contracting COVID-19.

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By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Church or Church-related activities and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Church or Church-related activities may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Church employees, volunteers, and Church-related activity participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the Church or participation in Church-related activities (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Church, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Church, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Church-related activity.

I understand and agree that the law of the State of California will apply to this Waiver of Liability.

I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS WAIVER OF LIABILITY, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE:

Signature: _______________________________Date: ___________

Name (printed):___________________________________________

I am the parent or legal guardian of the minor named above. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Waiver of Liability.

Signature: _______________________________ Date: ___________

Name (printed):____________________________________________

Photographs may be used for the following items:

KOG page, church marketing materials such as Fountain Valley Living or other local magazines, brochures, flyers, church newsletters, and/or other items to help promote KOG Church and Preschool.

The child's name will never be identified.