Fourth & Fifth Grade Lock-In

Fourth and Fifth graders will be LOCKED-IN the church, all night! What does this mean? Your child and their friends will stay up late, share deep conversations, and deep laughter! They will dive into God’s Word and talk through both the challenges and joys of this past year. The church grounds will be transformed into a place of fun, excitement, and community.

June 18th @ 4:00pm - June 19th @ 10:00am
 
 
 
 
 
 
 
 
 
Permission & Medical Release

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In case of emergency, I can be reached by phone number listed on this form. In the event I cannot be reached, I give my permission to the licensed physician, nurse or medical care provider designated by the group leader to secure medical aid as required for illness or injury under a physician's orders, including transportation to and from the necessary facilities. I accept the cost of any such treatment. I hereby release and hold harmless Community Bible Church and its volunteers from any and all liability for accident or injury that might occur while participating in and/or traveling to and from such events.
COVID-19


Due to the nature of this event both children and adults will not be required to wear face coverings/masks. I HEREBY ACKNOWLEDGE that I have voluntarily permitted my child to participate in programs under the direction of Community Bible Church (hereafter referred to as CBC).



In addition, the undersigned acknowledges that novel coronavirus (SARS-CoV-2 or the resulting disease named COVID-19) infections have been confirmed throughout the United States, including cases in California. In accordance with the most recent guidance and protocols issued by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC) and the California Department of Public Health (CDPH), for slowing the transmission of COVID-19, THE UNDERSIGNED HEREBY AGREES, represents, and warrants that neither the undersigned nor such participating children shall visit or utilize the facilities, services, and programs of CBC within 14 days after exposure to any person who has a suspected or confirmed case of COVID-19. The undersigned hereby also agrees, represents, and warrants that neither the undersigned nor any participating children shall visit or utilize the facilities, services, or programs of CBC if he or she (i) experiences symptoms of COVID-19, including, without limitation, fever, cough or shortness of breath, or (ii) has a suspected or diagnosed/confirmed case of COVID-19. The undersigned agrees to notify CBC immediately if he or she believes that any of the foregoing access/use restrictions may apply.

CBC has taken certain steps to implement recommended guidance and protocols issued by the Public Health Agencies for slowing the transmission of COVID-19, including, without limitation, the access/use restrictions set forth above. The undersigned acknowledges and agrees that CBC may revise its procedures at any time based on updated recommended guidance and protocols issued by the Public Health Agencies and further agrees to comply with its revised procedures prior to utilizing the facilities, services, and programs. The undersigned further acknowledges and agrees that, due to the nature of the facilities, services, and programs offered by CBC, social distancing of 6 feet per person among children and the volunteers and staff may not be possible. The undersigned fully understands and appreciates both the known and potential dangers of utilizing the facilities, services, and programs of CBC and acknowledges that use thereof by the undersigned and/or such participating children may, despite CBC’s reasonable efforts to mitigate such dangers, result in exposure to COVID-19, which could result in quarantine requirements, serious illness, disability, and/or death.

IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER CBC FOR ANY PURPOSE OR PARTICIPATION IN ANY ON-SITE PROGRAM AFFILIATED WITH CBC, THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING:

THE UNDERSIGNED, ON HIS OR HER BEHALF AND ON BEHALF OF SUCH PARTICIPATING CHILDREN, RELEASES, DEFENDS, INDEMNIFIES, WAIVES, DISCHARGES, HOLDS HARMLESS AND COVENANTS NOT TO SUE CBC  or its respective directors, officers, employees, volunteers and agents from all liability to the undersigned or such participating children and all personal representatives, assigns, heirs, and next of kin of the undersigned or such participating children for any loss or damage, and any claim or demands on account of any property damage or any injury to, or an illness or the death of, the undersigned or such participating children (or any person who may contract COVID-19, directly or indirectly, from the undersigned or such participating children) whether caused by the negligence, active or passive, of CBC or otherwise while the undersigned or such participating children are in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with CBC. The undersigned expressly and knowingly waives all rights under California Civil Code section 1542, which provides: "A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement with the debtor or released party."

I HAVE CAREFULLY READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, AND FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENTS APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE CONCERNING THE MATTERS SET FORTH HEREIN. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP VALUABLE LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES FROM CBC IN CASE OF ILLNESS, INJURY, DEATH OR PROPERTY LOSS OR DAMAGE, INCLUDING, FOR THE AVOIDANCE OF DOUBT AND WITHOUT LIMITATION, EXPOSURE TO COVID-19 AT ANY FACILITY OR PROGRAM AND ANY ILLNESS, INJURY OR DEATH RESULTING THEREFROM. I UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE AND A RELEASE OF ALL CLAIMS. IF SIGNING ON BEHALF OF MINOR: I ALSO UNDERSTAND THAT THIS AGREEMENT IS MADE ON BEHALF OF MY MINOR CHILD(REN) AND/OR LEGAL WARDS AND I REPRESENT AND WARRANT TO CBC THAT I HAVE FULL AUTHORITY TO SIGN THIS AGREEMENT ON BEHALF OF SUCH MINOR(S).


 
 
 
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Description

Fourth and Fifth graders will be LOCKED-IN the church, all night! What does this mean? Your child and their friends will stay up late, share deep conversations, and deep laughter! They will dive into God’s Word and talk through both the challenges and joys of this past year. The church grounds will be transformed into a place of fun, excitement, and community.

June 18th @ 4:00pm - June 19th @ 10:00am