Facilities and services locator registration form * Required Field Organization name Organization type -- Please select -- Fitness Center Retirement Living Community Services Fitness Ambassador Recreation Centre YMCA Address City State/province -- United States -- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming -- Canada -- Alberta British Columbia Manitoba Newfoundland New Brunswick Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Zip/postal code Phone Website Facility description Please describe your facility in 20 words or less Client facility serves Facility features Needs on-going assistance Fitness:Does not engage in physical activity. Goals:Improve ability to perform activities of daily living and manage illness. Needs:Movement that helps maintain or improve physical function for basic self-care, including eating, bathing, dressing, toileting, transferring and walking. Need a little help Fitness:Engages in limited physical activity. May have medical conditions and movement limitations. Goals:To regain strength and balance, improve function and mobility and improve medical conditions. Needs:Exercise to improve strength, range of motion, balance and coordination that helps instrumental activities of daily living (shopping, housework). Just getting started Fitness:Engages in some physical activity and can perform activities of daily living, but may have some functional limitations. Goals:To live independently, manage weight and improve physical conditions such as arthritis or diabetes. Needs:Exercise that helps improve physical function and develops physical reserve to prevent decline. Active now Fitness:Exercises at least twice a week and engages in physical activity most days of the week for health and enjoyment. Goals:To maintain or improve fitness level and manage weight. Needs:Exercise that maintains the level of fitness to live an active, independent lifestyle. Athlete Fitness:Exercisesor participates in sports activity almost every day or works at a physically demanding job. Goals:To maintain or improve fitness level and succeed in sports. Needs:Exercise that builds physical reserves and provides conditioning for improving performance in competition or in strenuous vocational and/or recreational activities. Facility recognitions ICAA member This facility is a member of the ICAA and shares the organization's goals of changing society's perceptions of aging and improving the quality of life for aging Baby Boomers and older adults. ICAA Code of Conduct As a participant in the ICAA age-friendly fitness and wellness facility locator, we agree to operate our facility(s) in accordance with the ICAA Code of Conduct, as set out below: To follow and conform to all relevant industry standards and guidelines for serving the health and wellness needs of our older clients. To offer age-specific health screening and testing to ensure our clients receive appropriate exercise prescription (cardiovascular, strength and balance training, with a warm-up and cooldown period) based on an individual's level of function and desired goals. To provide a trustworthy, safe and caring exercise environment for our clients. To open our facility(s) to people of all races, creeds and nationalities. To hire staff members who are qualified, certified and/or registered by a nationally recognized organization that specializes in exercise for the 50-plus population. To refer our clients to professionals who can better serve them, if their goals or health conditions are beyond our scope of practice. To educate on an ongoing basis our staff, our older clients and their families, and the medical community about healthy aging. To offer programs, services, staff, equipment and physical plant(s) that meet the needs of the functional level(s) our facility(s) commits to serving. To create a positive vision of aging in all our marketing materials. To provide emergency training for staff, as well as an appropriate emergency action plan that staff can execute in a timely manner. To follow the outlined ICAA age-friendly facility recommendations. ICAA Code of Conduct As a participant in the ICAA community locator, we agree to operate our community(s) in accordance with the ICAA Code of Conduct, as set out below: To follow and conform to all relevant industry standards and guidelines for serving the needs of our older clients. To offer age-specific health screening and testing to ensure our clients receive appropriate exercise prescription (cardiovascular, strength and balance training, with a warm-up and cooldown period) based on an individual's level of function and desired goals. To provide a trustworthy, safe and caring environment for our clients. To open our facility(s) to people of all races, creeds and nationalities. To hire staff members who are qualified, certified and/or registered by a nationally recognized organization that specializes in the 50-plus population. To refer our clients to professionals who can better serve them, if their goals or health conditions are beyond our scope of practice. To educate on an ongoing basis our staff, our older clients and their families, and the medical community about healthy aging. To offer programs, services, staff, equipment and physical plant(s) that meet the needs of the functional level(s) our facility(s) commits to serving. To create a positive vision of aging in all our marketing materials. To provide emergency training for staff, as well as an appropriate emergency action plan that staff can execute in a timely manner. To follow the outlined ICAA age-friendly fitness and wellness facility recommendations, if the community has a fitness or wellness center. ICAA Code of Conduct As a participant in the ICAA locator, we agree to operate our store(s) in accordance with the ICAA Code of Conduct, as set out below: To follow and conform to all relevant industry standards and guidelines for serving the needs of our older clients. To provide a trustworthy, safe and caring environment for our clients. To open our facility(s) to people of all races, creeds and nationalities. To hire staff members who are qualified, certified and/or registered by a nationally recognized organization. To refer our clients to professionals who can better serve them, if their goals or health conditions are beyond our scope of practice. To educate on an ongoing basis our staff, our older clients and their families, and the medical community about healthy aging. To offer programs, staff, products and services, and physical plant(s) that meet the needs of adults 50+. To create a positive vision of aging in all our marketing materials. To provide emergency training for staff, as well as an appropriate emergency action plan that staff can execute in a timely manner. ICAA Code of Conduct As a participant in the ICAA community services locator, we agree to operate our community(s) in accordance with the ICAA Code of Conduct, as set out below: To follow and conform to all relevant industry standards and guidelines for serving the needs of our older clients. To offer age-specific health screening and testing to ensure our clients receive appropriate exercise prescription (cardiovascular, strength and balance training, with a warm-up and cooldown period) based on an individual's level of function and desired goals. To provide a trustworthy, safe and caring environment for our clients. To open our facility(s) or community services to people of all races, creeds and nationalities. To hire staff members who are qualified, certified and/or registered by a nationally recognized organization that specializes in the 50-plus population. To refer our clients to professionals who can better serve them, if their goals or health conditions are beyond our scope of practice. To educate on an ongoing basis our staff, our older clients and their families, and the medical community about healt hy aging. To offer programs, services, staff, equipment, open spaces and physical plant(s) that meet the needs of the functional level(s) our organization commits to serving. To create a positive vision of aging in all our marketing materials. To provide emergency training for staff, as well as an appropriate emergency action plan that staff can execute in a timely manner. To follow the outlined ICAA age-friendly fitness and wellness facility recommendations, if the community has a fitness or wellness center I agree I disagree
