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DESRIPTION OF FITNESS TESTING AND EXERCISE PROGRAMS
FORM IIa
Dear Doctor:
The YMCA fitness testing and/or exercise programs for which the participant would
like to engage is described as follows:


Fitness Testing
The purpose of the fitness testing program is to evaluate cardirespiratory fitness, body
composition, flexibility and muscular strength and endurance. The cardiorespiratory
fitness test involves a submaximal test that may include a bench step test, cycle
ergometer test or a one-mile walk for best time test. Body composition is analyzed by
taking several skinfold measurements to calculate percentage of body fat or by utilizing
a hand held bioelectric impedance analyzer. Flexibility is determined by a sit-and-reach
test. Muscular strength and upper-body endurance may be evaluated by the oneminute, bent-knee sit-up test or the bench press test.
Exercise Programs
The purpose of the exercise program is to develop and maintain cardiorespiratory
fitness, body composition, flexibility and muscular strength and endurance. A specific
exercise plan will be designed for the participant based on needs, interests as well as
your recommendations. All exercise programs include warm-up, cardiorespiratory
exercise at target heart rate and cool-down (except for muscular strength and
endurance training in which target heart rate is not a factor). The program might
involve walking, jogging, swimming or cycling (outdoor and/or stationary); participation
in rhythmic aerobic exercises such as those performed in choreographed fitness
classes; calisthenics or strength training. In order to improve overall fitness and
muscular strength, all programs are designed to gradually increase the workload on the
body. The rate of progression is regulated by the exercise target heart rate, perceived
effort of exercise or both.
In both the fitness testing and exercise programs, the reaction of the
cardiorespiratory system cannot be predicted with complete accuracy. There is a
risk of certain changes occurring during or after exercise. These changes might
include abnormalities of blood pressure or heart rate or both. YMCA exercise
instructors are certified in CPR and emergency procedures are posted in the facility.
In addition to your medical approval and recommendations, the participant will be
asked to sign informed consent forms that explain the risks of the fitness testing
and exercise participation before the programs are initiated.
Phone | Address, City, NY Zip | BranchFamilyYMCA.org