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Campus Recreation

Guest Pass Registration

Contact Us  

Campus Recreation

Address:
University Ave
West Chester, PA 19382


Phone: 610-436-1000
Email: webmaster@wcupa.edu

Guest Pass Registration

Please fill out the form below to request a guest pass for today or the weekend. All fields are required unless noted.

Guest Information

Please make sure you have filled in all required fields with valid information.

    Sponsor Information

    Please make sure you have filled in all required fields with valid information.


      Example: BT123456

      Emergency Contact Information

      Please make sure you have filled in all required fields with valid information.

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        Waiver

        Please make sure you have filled in all required fields with valid information.

          Student Recreation Center, Informed Consent Statement

          1. I am aware of my physical condition
          2. I am aware that such participation may result in possible injury as a result of the nature of the activity and that I am assuming any risk that may be involved in the activity.

          I understand that part of the risk involved in undertaking any recreational activity is relative to my own state of fitness or health (physical, mental, or emotional) and to the awareness, care, and skill with which I conduct myself in that activity. I acknowledge that my choice to participate in the Student Recreation Center brings with it my assumption of those risks or results stemming from this choice and the fitness, health, awareness, care and skill that I possess and use.

          I understand that student personnel working in the Student Recreation Center may not be licensed, certified, or registered professionals. I accept the fact that the skills and competencies of some employees and/or volunteers will vary according to their training and experience. I understand that the dangers and risks from my participation in the Student Recreation Center may include injury to virtually all internal organs and other aspects of the muscular/skeletal system, to other aspects of my body, and general health and well being, including serious injury which may result in loss of life. I acknowledge that I am responsible for my injuries I may sustain, that I may cause to others, and damage I may cause to the facilities.

          I agree to indemnify and hold harmless the University, Student Services, Inc., PASSHE, the State System of Higher Education, its Trustees, officers, agents and employees of the Student Recreation Center, from and against any and all claims, liability, losses, third party claims, damages, costs, or expenses (including attorneys’ fees), from any responsibility or liability in case of personal injury sustained by me or damage to property of others caused by me during or because of participation in the activities of the Student Recreation Center.

          I certify that I am a legally competent adult 18 years of age or older.

          My signature verifies that I have read, understood, and agree to the contents of this Informed Consent Statement in its entirety. I have the opportunity to ask any questions related to this Informed Consent Statement.

          9/25/2016

          Payment Details

          Please make sure you have filled in all required fields with valid information.

            Date Pass is Valid: 9/25/2016
            (must be purchased on Friday or Saturday)


            Clicking the Submit Guest Pass button below will transfer you to the QuikPay website to complete your credit card payment.