Cheer Parent Consent Form

ICU Coaching Skill Credentialing: Parent Consent Form
Facilitator Email
example@example.com
Coach/Supervisor Name

First NameLast Name
Coach/Supervisor Email
example@example.com
CONSENT (please read carefully)

a) I agree to my child taking part in the activities of the program.

b.) I understand that there is a pass/fail component to the credentialing program and it is the responsibility of my child to effectively prepare themselves for the exams.

c.) I understand my child will need to allocate sufficient time to take the online exam and the practical exam. The practical exam takes place via video conference and is scheduled by the ICU Facilitator. can be scheduled in person or via video conference.

d.) I understand the financial obligations of my child for this credential.

e.) I understand this form must be signed by both the parent/guardian of the minor prior to registering for the coaching skill credential.

g.) I understand that for record keeping and quality assurance purposes, the virtual credentialing session will be recorded. Consent is implied unless otherwise stated. Recordings are accessible only to the ICU in a secure and confidential folder.

By signing and submitting this form I acknowledge the above.
Minor Coach Name

First NameLast Name
Minor Coach Date of Birth
Minor Coach Email*
example@example.com
Minor Coach Signature *

Clear
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Signature

Clear
Coach/Supervisor Signature

Clear
By checking this box, you confirm that you have read the information related to the credentialing process and consent to completion of credentialing. In addition, you understand that the practical exam session will be recorded for training and quality assurance purposes and you confirm consent to recording of the session.

I Confirm
Should be Empty:

ICU Coaching Skill Credentialing: Parent Consent Form