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Campus Recreation

Summer/Winter Registration

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Campus Recreation

Address:
University Ave
West Chester, PA 19382


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

Student Session Membership - 2017

Patron Information

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    Emergency Contact Information

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      NOTE: A Physical Activities Readiness Questionnaire (PAR-Q) and Informed Consent Statement must be completed before using the SRC. It is recommended that you see your physician before beginning any exercise program.

      Physical Activity Readiness Questionnaire (PAR-Q)

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        PAR-Q is designed to help you help yourself. Many health benefits are associated with regular exercise, and the completion of PAR-Q is a sensible first step to take if you are planning to increase the amount of physical activity in your life. For most people physical activity should not pose any problem or hazard. PAR-Q has been designed to identify the small amount of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them. Common sense is your best guide in answering these few questions. Please read them carefully and check the boxes next to the statements that apply to you.

        If you responded "yes" to one or more questions, then please talk to your personal physician before you become more physically active or before you have a fitness appraisal. Talk to your personal physician about the questions to which you responded "yes".

        If you responded "no" to all of the questions, you can be reasonably sure that you can:

        • Start becoming much more physically active. Begin slowly and build up gradually. This is the safest and easiest way to go.
        • Take part in a fitness appraisal. This is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively.

        I have read, understood, and completed this PAR-Q. Any questions I had were addressed to my full satisfaction.

        Informed Consent Statement

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          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.

          6/25/2017

          Payment Details

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            05/22/2017 - 08/18/2017
            $60.00
            05/23/2017 - 06/23/2017
            $25.00
            06/26/2017 - 07/28/2017
            $25.00
            07/31/2017 - 08/18/2017
            $15.00


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