CARR Application

Contact Information

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    Educational Information

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      College Interest Information

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        Work Experience Information

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          Stress Information

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            Social Interation Information

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              Waiver Information

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                Waiver: In consideration of being permitted to participate in CARR at West Chester University,I hereby agree to the following:

                I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and convenant not to sue West Chester University of Pennsylvania, and their officers, employees, volunteers, and agents from liability for any and all claims including the negligence of West Chester University of Pennsylvania, its officers, employees, volunteers, and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in CARR.

                Activities at CARR include, but not limited to: Residing in residence hall, navigating campus (crosswalks), navigating the borough of West Chester (crosswalks/streets/businesses), attending workshops, budgeting and ordering food.

                Assumption of risks: Participation in CARR carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from: 1)minor injuries such as scratches, bruises, sprains; 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, concussions; 3). Contracting contagious illness, to 4) catastrophic injuries including paralysis and death.

                Representations: I certify that I am physically fit, have sufficiently prepared or trained for participation in CARR, and have not been advised to not participate by a qualified medical professional. I certify there are no health-related reasons or problems which preclude my participation in CARR.

                I have read the previous paragraphs and I know, understand, and appreciate these and other risks that are inherent in CARR. I hereby assert that my participation is voluntary and that I knowly assume all risks.

                Indemnification and Hold Harmless: I also agree to INDEMNIFY and HOLD West Chester University and the State System of Higher Education HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney's fees brought as a result of my involvement in CARR and to reimburse them for any such expenses incurred.

                Severability: the undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the Commonwealth of Pennsylvania and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue to full legal force and effect.

                Acknowledgment of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

                 
                 (04/17/2026)
                Payment Information

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                  Total Cost: $0