EmailMeForm
GSOC COVID-19 Guidance Acknowledgement and Waiver
Updated: 6/20/2021
Please review the GSOC COVID-19 Guidance document, then acknowledge receipt of guidance and sign participation waiver at the bottom of the form.
COVID-19 Guidance Document
Name:
*
First
Last
Email
Volunteer Position/Role:
Please select
Troop Leader/Co Leader
Troop Volunteer
Troop Helper
Parent or Guardian
SU Team Member
SU Coordinator
Other
Troop#
*
Service Unit:
*
Please select
SU101 Brea
SU102 Fullerton/La Habra
SU103 La Cypress Park
SU104 Anaheim
SU105 Los Alamitos/Rossmoor
SU201 Placentia
SU202 Yorba Linda West
SU203 Yorba Linda East
SU204 Orange Villa
SU205 Anaheim Hills
SU206 Santiago Creek
SU301 Seal Beach
SU302 West Garden
SU303 Huntington Harbor
SU304 Ocean View
SU305 HB Pierside
SU306 Surf City
SU401 Garden Valley
SU402 Tustana
SU403 Tustin East
SU404 Newport Mesa
SU405 Newport Harbor
SU501 South Irvine
SU502 Heart of Irvine
SU503 North Irvine
SU504 Laguna Beach
SU505 Aliso Viejo
SU506 Niguel Coast
SU507 San Clemente
SU602 Lake Forest
SU603 Rancho Portola
SU604 Mission Viejo
SU605 Rancho Trabuco
SU606 Oso Valley
SU607 Ladera Valley
SU701 Comadres
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Please read and acknowledge each statement below
COVID-19 is an extremely contagious virus that spreads easily, including through person-to-person contact.
As with any social activity, use of Girl Scouts of Orange County (GSOC) facilities or participation in in-person troop, group, service unit or Council programs, may present the risk of contracting COVID-19.
While GSOC takes safety and preventative precautions, GSOC can in no way warrant that COVID-19 infection will not occur through use of such facilities or services or participation in in-person Girl Scout activities and meetings.
COVID-19 Waiver
I agree to comply and to ensure compliance by my children with the most recent guidance and recommendations issued by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), and my local state agency or municipality for slowing the transmission of COVID-19. I agree that neither I nor my participating children shall visit or utilize the facilities, services, and/or programs of Council within 14 days after (i) returning from highly-impacted areas subject to a CDC Level 3 Travel Health Notice, (ii) exposure to any person returning from areas subject to a CDC Level 3 Travel Health Notice, (iii) exposure to any person who has a suspected or confirmed case of COVID-19, or (iv) exposure to any other risk identified by the most recent guidelines or recommendations or guidelines situation delineated by WHO, the CDC or my state public health agency or municipality. I further agree that neither I nor my participating children shall participate in, visit or utilize the facilities, services, and/or programs of Council if I, he, or she (i) experience(s) symptoms of COVID- 19, including, without limitation, fever, cough, loss of sense of taste or smell, or shortness of breath, or (ii) has a suspected or diagnosed/confirmed case of COVID-19. I agree to notify Council immediately if I believe that any of the foregoing access/use restrictions may apply.
*
Yes
I hereby release Girl Scouts of Orange County from any and all liability for the unintentional exposure to or harm potentially caused by contracting COVID-19 by virtue of my or my daughter’s participation in in-person Girl Scout activities. I further waive any right to bring a claim or lawsuit against Girl Scouts of Orange County if I or my daughter contracts COVID -19 while participating in in person activities as I understand that there is an inherent risk in participating in such activities which I and my daughter agree to do voluntarily and knowingly.
*
Yes
By signing below, I acknowledge receipt and acceptance of the GSOC Volunteer COVID-19 Guidance and waiver and agree to follow all guidelines listed in this document.
Signature
Clear
