O - Parental Consent Screen
This is a specific screen for Non-Participants.
This is a specific screen for Non-Participants.
Parental Informed Consent
For Legal Guardians of Participants who are < 18 years old - must read.
(Use back-arrow to return to Registration if not applicable.)
For Legal Guardians of Participants who are < 18 years old - must read.
(Use back-arrow to return to Registration if not applicable.)
1. Purpose and Explanation - CrossComps are standardized fitness tests that are proctored by a certified CrossComp Coach. The CrossComp for non-exercisers is a 10-minute Walk/Jog. The CrossComp for exercisers at different levels of fitness involves a series of five basic exercises: 1) A four-minute Walk/Jog, 2) Three minutes of Squats, 3) Two minutes of Leg-Raises, 4) One minute of Push-Ups, and 5) One minute of Inverted-Rows.
The objective of a CrossComp is to determine the Participant's physical functional capacity, generate an appropriate exercise prescription, and track their progress towards their personal fitness goals. A CrossComp is recommended every three months durning Fitness Training and every 6-12 months for tracking Fitness Maintenance thereafter. Participation is voluntary.
2 Instructions - Participants are allowed to modify each exercise to the best of their ability and to set their own pace to whatever intensity level is comfortable for them. Participants may pause and rest any time during their exercise tests, and they may stop their CrossComp at any time for any reason. The CrossComp Coach may encourage a Participant to slow-down or insist that they stop, depending on the signs of exertion or discomfort that they exhibit during their CrossComp.
3. Attendant Discomforts and Risks - There is the possibility of certain physiological changes occurring during a CrossComp. These include shortness of breath, pounding heart beats, palpitations, dizziness, fatigue, impaired coordination, and in extremely rare instances, heart attack, stroke, or death.
4. Your Responsibilities - As the Participant's legal guardian, it is important that you answer the Pre-Participation Screening questions for your minor accurately when the Coach briefly reviews any cardio-pulmonary-vascular symptoms, history of heart disease, and current exercise pattern. The Participant is also fully responsible for disclosing all symptoms that they experience during their CrossComp, such as pain, shortness of breath, or pressure, tightness, and/or heaviness in their chest, neck, jaw, back, and/or arms.
All minor (less than 18 years old) Participants are required to have a parent or other legal guardian present during their first CrossComp and each follow-up CrossComp thereafter until the Participant is 14 years old.
5. Benefits to Be Expected - Upon completing the CrossComp, the Participant will obtain an accurate Fitness Score, an appropriate Exercise Rx, and a personalized, 12-week, renewable Fitness Training Program at no additional cost.
The Participant's CrossComp Score reflects: A) Their current functional capacity, B) The effectiveness of their current exercise program, and C) Their progress towards their fitness goal.
6. Inquiries - As the Participant's legal guardian, you are encouraged to get any desired clarifications regarding CrossComps from the CrossComp Coach. You and your Participant's doctor, physical therapist, or personal trainer are welcome to obtain more information about CrossComp procedures and scoring, as well as its many health and medical applications, which are available through a free CrossComp Coach Certification Course at www.CrossCompU.com.
7. Use of Personal Information - The information that is obtained during the CrossComp will be treated as privileged and confidential. It will not be released or revealed to any third party. Aggregate information will be used for statistical analysis and scientific research purposes while fully protecting the Participant's identity and right to privacy. Of course, you and the Participant are always free to share their CrossComp Score and Exercise Rx with anyone you choose to do so.
8. Freedom of Consent - As the Participant's legal guardian, your consent regarding your minor's Participation in CrossComps acknowledges that you have read this Informed Consent and accept the attendant discomforts and risks on behalf of the Participant and in their best interest.
You understand: A) The five test exercises, B) The Participant is free to stop their CrossComp at any time, and C) You had the opportunity to ask questions and get answers to your satisfaction. If you have any health or medical concerns about the Participant, you are encouraged to speak with their personal physician for medical clearance in order to initiate a very light to moderate exercise program.
The objective of a CrossComp is to determine the Participant's physical functional capacity, generate an appropriate exercise prescription, and track their progress towards their personal fitness goals. A CrossComp is recommended every three months durning Fitness Training and every 6-12 months for tracking Fitness Maintenance thereafter. Participation is voluntary.
2 Instructions - Participants are allowed to modify each exercise to the best of their ability and to set their own pace to whatever intensity level is comfortable for them. Participants may pause and rest any time during their exercise tests, and they may stop their CrossComp at any time for any reason. The CrossComp Coach may encourage a Participant to slow-down or insist that they stop, depending on the signs of exertion or discomfort that they exhibit during their CrossComp.
3. Attendant Discomforts and Risks - There is the possibility of certain physiological changes occurring during a CrossComp. These include shortness of breath, pounding heart beats, palpitations, dizziness, fatigue, impaired coordination, and in extremely rare instances, heart attack, stroke, or death.
4. Your Responsibilities - As the Participant's legal guardian, it is important that you answer the Pre-Participation Screening questions for your minor accurately when the Coach briefly reviews any cardio-pulmonary-vascular symptoms, history of heart disease, and current exercise pattern. The Participant is also fully responsible for disclosing all symptoms that they experience during their CrossComp, such as pain, shortness of breath, or pressure, tightness, and/or heaviness in their chest, neck, jaw, back, and/or arms.
All minor (less than 18 years old) Participants are required to have a parent or other legal guardian present during their first CrossComp and each follow-up CrossComp thereafter until the Participant is 14 years old.
5. Benefits to Be Expected - Upon completing the CrossComp, the Participant will obtain an accurate Fitness Score, an appropriate Exercise Rx, and a personalized, 12-week, renewable Fitness Training Program at no additional cost.
The Participant's CrossComp Score reflects: A) Their current functional capacity, B) The effectiveness of their current exercise program, and C) Their progress towards their fitness goal.
- The Participant's CrossComp Score also allows them to participate in CrossComps’ World-Wide, Life-Long Fitness Competition. Our customizable app-based platform is fun and motivating. The CrossComp App is a free download and is available through Google Play or Apple's App Store.
- If applicable, the Participant's doctor may use their CrossComp Score to help manage any sedentary-related medical conditions in conjunction with their on-going medical treatment.
- Aggregate CrossComp data will be used for the advancement of exercise science and lifestyle therapies.
6. Inquiries - As the Participant's legal guardian, you are encouraged to get any desired clarifications regarding CrossComps from the CrossComp Coach. You and your Participant's doctor, physical therapist, or personal trainer are welcome to obtain more information about CrossComp procedures and scoring, as well as its many health and medical applications, which are available through a free CrossComp Coach Certification Course at www.CrossCompU.com.
7. Use of Personal Information - The information that is obtained during the CrossComp will be treated as privileged and confidential. It will not be released or revealed to any third party. Aggregate information will be used for statistical analysis and scientific research purposes while fully protecting the Participant's identity and right to privacy. Of course, you and the Participant are always free to share their CrossComp Score and Exercise Rx with anyone you choose to do so.
8. Freedom of Consent - As the Participant's legal guardian, your consent regarding your minor's Participation in CrossComps acknowledges that you have read this Informed Consent and accept the attendant discomforts and risks on behalf of the Participant and in their best interest.
You understand: A) The five test exercises, B) The Participant is free to stop their CrossComp at any time, and C) You had the opportunity to ask questions and get answers to your satisfaction. If you have any health or medical concerns about the Participant, you are encouraged to speak with their personal physician for medical clearance in order to initiate a very light to moderate exercise program.
Scheduling to accompany a Minor CrossComp Participant indicates
that you have read and agree to the above Parental Informed Consent.
that you have read and agree to the above Parental Informed Consent.
Name of Minor Participant
Enter First & Last Name
Enter First & Last Name
Notes:
- X