Martial arts – as with all sports – carry an inherent risk of injury or harm and it is essential that you are fully aware of these dangers before taking part in our class. Please read carefully the following document and sign if happy to proceed.

Martial Arts carry inherent risks. Whilst your instructor will always do what is possible to minimise these risks and mitigate the possibility of harm occurring, there are certain dangers that are unavoidable.

Because of the nature of martial arts – and unarmed combat training – combined with martial arts based fitness training, you will be exposed to many potential risks throughout your time training with PRAETORIAN MMA. These include, but are not limited to, Slips, Trips, Sprains, Falls, Cuts, Abrasions, Contusions, Swelling and in some more uncommon cases, breaks and other injuries. Whilst the club’s safety record is [exemplary] it’s important to us that you understand the nature of what you are about to participate in, and that you are happy to assume all risks having been made aware in advance of what these might be.

We train in a combination of unarmed combat disciplines – Karate, Boxing, MMA, KIick-Boxing, Mixed Martial Arts, Brazilian Ju-Jitsu, Grappling, Judo, Wrestling and others. We also combine fitness drills into most of our training, with some key martial arts based fitness and martial arts based conditioning too.

You always have the right to stop training at any point should you not feel comfortable performing any set technique or exercise, and you are under no pressure to complete any drill, technique or exercise if you do not wish to.

If you do continue with this class and any subsequent classes we ask that you take a moment to consider the nature of an intense combat class and what that might entail, including the above possible risks as identified – and any other potential injuries, such as contact during sparring, concussion, breaks and others. These are very uncommon – but they can occur. Please ensure you’re happy to assume the inherent risks that come with training in martial arts.

You are welcome and encouraged to speak to your instructor if you’re not completely at ease with the risks being assumed, or not completely confident about what our classes entail.

Thank you

I, {name} having read in full the above assumption of risk disclosure, confirm that I am happy and willing to accept the assumption of risks as presented and do so with a clear understanding of this class, and any other subsequent classes potential for injury or harm. I have done so in my own confidence and wish to participate without warranty or guarantee.

We value all those who interact with our club, and accordingly, we insist on the following universal rules for the benefit of all our members and third parties. These rules are designed to be fair, simple and largely based upon common sense to ensure everyone can enjoy a safe, professional class.

• ·     Everyone has the right to be treated with dignity, respect and consideration. Any person found not to be doing so will be asked to leave.
• ·     Safety is our number one concern. If you have any concerns over your safety or the safety of any other person in the class you should alert your instructor immediately.
• ·     Never attempt to do any exercise, technique or movement that you are not confident and comfortable completing.
• ·     You should only train at your own pace and if you find the class is moving too fast, or if you should not understand the technique being demonstrated and/or find yourself becoming exhausted, please let an instructor know straight away.
• ·     The techniques taught in our club must only be used in the defense of life and personal safety only.
• ·     It is your responsibility to ensure you turn up to class fit and ready to take part, with a suitable amount of time prior to the lesson’s scheduled start time.
• ·     If you have any injury or medical condition you should let the instructor know ahead of the class.
• ·     If you develop any injuries during a class, you should let the instructor know so they may complete an injury record and administer first aid accordingly.
• ·     Swearing, smoking, drinking alcohol or any other form of abusive or anti-social behavior will not be tolerated.
• ·     The instructor(s) has the ultimate say as to whether they feel you are fit to train or whether a rule has been broken.

If you are unsure about any of the above, you should contact your instructor before taking part and discuss any concerns or questions with them. These rules may be updated from time to time; it is your responsibility to ensure you’re up to date with the latest.

Please make sure this information is correct. If not, go to your profile and update as appropriate. 

• {first_name} 
• {name}
• {dob} 
• {address} 
• {phone}
• {contact_name} {contact_phone} 
• {contact_relation} 

Health information

1. Do you have/have you ever suffered a heart condition / is there any history of Coronary Heart Disease in your family?
   Yes  No
2. To your knowledge, do you have high or low blood pressure?
   Yes  No
   
3. Is your doctor currently prescribing medication for your blood pressure or heart condition? Yes  No
4. Do you feel pain in your chest when you do physical activity?
   Yes  No
5. In the past month, have you had a chest pain when you were not doing physical activity? Yes  No
6. Do you lose balance because of dizziness or do you ever lose consciousness?  
   Yes  No
7. Do you have a bone or joint problem (for example back, knee or hip) that could be made worse by a change in your physical activity?
   Yes  No
8. Are you taking any medication that the instructor should be made aware of?
   Yes  No
9. Are you pregnant/had a baby in the last 4 months? 
   Yes  No
10. Do you have Asthma? (If YES, give your inhaler labeled with you name to the Coaches before you start training)
    Yes No
11. Do you have Diabetes mellitus or any other metabolic disorder? 
     Type 1  Type 2
12. Do you have? ASD Autiusm ADHD Asperges
13. Do you have learning difficulties?
    Yes  No
14. Do you have any known allergies?
    Yes  No
    if yes:
    
15. Do you have any skin conditions; i.e. dermatitis?
    Yes  No
16. Do you have any blood borne diseases; hepatitis, HIV?
    Yes  No
    
17. Do you suffer from epilepsy?
    Yes  No
    

If you answered yes to any question, please elaborate

If you answered YES to one or more questions: You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

If you answered NO to ALL of the questions:It is reasonably safe for you to participate in physical activity, gradually building up from your current ability level if you deem it fitting and appropriate. A fitness appraisal can help determine your ability levels