Registration & Disclosure Form

We gratefully ask all students to complete a registration and disclosure form to ensure your instructor and the club are aware of any relevant medical information and contact details prior to training. If you have any questions regarding this form, please speak directly with your instructor before commencing any form of training.

This information is required to identify you in records pertinent to your registration with our governing body.

We’d like to add you to our Facebook closed group so you can quickly and easily communicate with the instructor and fellow students (i.e.: with notices regarding classes, to let us know about attendance etc For more personal matters we would also appreciate your e-mail address, so we can drop you a line directly and in confidence.

 

From time to time we like to share photos or videos of our students with the rest of the club. This may be via Facebook, Twitter or other media platforms. We may also like to use photos from training to help advertise our class to others – for example, via our website.

Are you happy to be included in photography, and for it to be used as described above?

We’re keen to create a safe, enjoyable space where everyone is free and able to learn martial arts without harassment or intimidation. Our club operates a zero tolerance on bullying or any such harassment during or outside of training. Your instructor is here to keep you safe and help you learn we ask that you please show respect and listen carefully to instructions when given, as they are for your own protection.

Training within our club is done entirely at your own risk, in conjunction with our assumption of risk form which you must read and complete before training. We ask that you operate a common-sense approach – it’s combat training, you’re not made of metal – you might get hurt.

We’ll do all we can to protect you, but injuries can from time to time occur. You agree to undertake training at your own risk and must make reasonable arrangements by your own accord should you require insurance for personal accident or liability. Talk to your instructor if you are in any doubt.

We need to know if you have any past or current medical conditions, injuries or medication that you might need to disclose to your instructor.

This is stored in the utmost of confidence and will be treated with sensitivity. Our instructor needs to know if there are any injuries or conditions present that might heighten your risk of injury or harm when undertaking different exercises and drills.

Should the worst happen, and an injury occur, it’s essential the instructor is aware of any underlying medical conditions or injuries that might have contributed to or caused an incident.

Please talk with your GP before training with us if you have any concerns or any medical conditions past or present to ensure it is safe to proceed.

Please think carefully and include any past or present injuries and medical conditions that might affect your ability to participate. This might include, for example, a previously broken left wrist that is now weakened, or a knee that is weak (but has not been investigated by your doctor), or it could refer to a past or on-going condition – such as Asthma or Arthritis.

We’re committed to offering an equal opportunity for everyone to participate regardless of any medical requirements or mobility issues.

Unfortunately, our classes are not suitable for anyone who is, or may be, pregnant due to the nature

of impact and contact. We won’t ask you to confirm you’re not pregnant – but please talk to your instructor now, or in the future, should this become relevant.

Please indicate who we should be contacting in the unlikely event of an incident.

I, the above-named student, confirm that the details enclosed in this document are accurate and true to the best of my understanding, and I declare that I am fit to participate.

Acknowledgement and Assumption of Risks

 

I, am completing this assumption of risk form in relation to my wishes to participate within a class, activity, course, seminar, grading, competition, training session or lesson provided by Revolution Martial Arts Academy and any of Revolution Martial Arts Academy’s registered instructors, coaches or staff.

I confirm that I understand in full that any activity in which I participate will carry inherent risks associated with any practice or competition within combat arts, martial arts or self defence. Furthermore, I understand that the risk of serious injury is present, and I have been briefed on the relevant safety rules and regulations in place to help protect me and my fellow students during training.

I confirm that I understand the nature of the activity in which I am about to participate, and appreciate that any practice of combat, self-defence or martial art usually includes a degree of martial arts-based fitness training. With this in mind, I can agree that I am fit to participate and agree to assume all risks associated with the above, hereby withdrawing any liability from the named club, instructors, association or other relevant parties.

Should I be unclear on any risks involved, or not feel comfortable releasing the above named from all positions of liability, I will not sign this document. Please take my signature as my acceptance and assumption of all risks involved, as described to me by my instructor and stated within this document.

THE CLUB SHOULD RETAIN THIS DOCUMENT FOR FUTURE REFERENCE.

If the named wishes to obtain a copy, the instructor must make this available within 21 days without charge.

1. All members must complete a current Revolution Martial Arts Academy application form before being allow to participate in lessons. 2. Annual (non-refundable) Insurance fee including licence and membership is payable on the students second lesson. 3. Revolution Martial Arts Academy will upon receipt of the student’s annual fees, issue a licence, insurance certificate and grading book. 4. Training fees are payable in advanced by monthly direct debit. 5. Training fees are calculated over 12 months (Jan-Dec) which includes occasional club closure (including but not limited to Bank Holidays) 6. Non-payment of training fees will automatically cancel the student’s membership. 7. In the interest of health and safety all students must wear a gum shield if student forgets theirs they can be purchased via club for £2.50. Always inform the instructor of any injuries you may have or if you feel unwell.

For safety, finger and toe nails should be kept short.

If you lose you graining bookyour will be unable to grade, a replacement grading book will cost £10.00

Children must not recreate anything learned in the gym outside the gym.

In case of a fire, please follow the instructor’s directions.

In the event that there is a problem with the current training location, classes may move to

alternative venue temporarily. We will endeavour to give as much notice as possible of any

changes but we cannot be held responsible for amendments are beyond our control.

Any unacceptable behaviour will not be tolerated and may result in those people being asked to

Revolution Martial Arts Academy reserve the right to cancel memberships at any time and for

any reason, and to refuse new applications for membership.

Please feel free to speak to any of the instructors about any concerns, comments or complaints

and we will do our best to resolve any issues. It is extremely important to us that you are happy

with your training and membership, and we welcome your feedback on how things are goin