Skip to Content

Waiver Form

  • Agreement

    • No visitors in your dorm room, including student and non-student.
    • Adherence to university rules found in the student handbook.
    • No travel out of state.
    • I understand that if I choose to stay on campus that I may have a greater potential for contact that could result in exposure to a virus or other pathogen such as COVID-19. By making this request to stay on campus I understand that I waive any claim I may have against the University relating to viral or bacterial exposure and I fully release and indemnify the University for any claims relating to illness or injury regardless of the circumstances.

If you have any questions or concerns, please contact Heidi Scholes by phone or email.
scholesh@wmpenn.edu
641-673-1084