UFMA Onboarding

UFMA Onboarding

Welcome to Undisputed FMA - we can't wait to get to work in one of our studios soon! To help us provide you with the best possible training experience, please complete the following questionnaire. Your responses will enable us to tailor our fitness programs to meet your individual needs and ensure your safety during classes and training. All information provided will be kept confidential in accordance with privacy laws.
Parent / Guardian (if applicable)

If the participant is under the age of 18, a parent or guardian must complete this form and sign on their behalf.
Members Information
Full name

First NameLast Name
Birth Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityCounty

Postal CodeCountry
Email
example@example.com
Phone Number

Area CodePhone Number
Emergency Contact

First NameLast Name
Relationship
Area CodePhone Number
Health Information

Please read the questions carefully and answer each one honestly and to the best of your ability. This information will help us ensure your safety and well-being while participating in martial arts classes and/or using the facilities at our gym.

Rows	Yes	No	If yes, please describe
Do you have any medical conditions or have you been advised by you healthcare provider to avoid or limit physical activity?
If yes, do you have any medical conditions that affect your ability to participate in martial arts training?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had chest pain when you were not doing physical activity?
Do you loose balance because of dizziness or do you ever lose consciousness?
Do you have any bone or joint problems (for example, back, knee, or hip) that could be worsen by a change in your physical activity?
Are you currently taking any medications or supplements (or any other substances) that could affect your exercise performance or safety?
Do you experience any pain or discomfort during physical activity?
Have you undergone any surgeries in the last 12 months?
Are you pregnant and/or breastfeeding?
Do you know of any other reason why you should not do physical activity?

Fitness Goals Section

Please read the questions carefully and answer each one honestly and to the best of your ability. This information will help us ensure your safety and well-being while participating in martial arts classes at our gym.
What are your primary fitness goals?
How would you describe your current activity level?
Have you participated in martial arts training before?
Photo Release

I hereby grant permission to Undisputed FMA to take and use photographs or videos of me for promotional purposes.
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Authorisation

I hereby authorise Undisputed FMA to seek medical attention for me in the event of an emergency. I understand that Undisputed FMA will make reasonable efforts to contact my emergency contact, but if unable to do so, they may take necessary actions to ensure my safety and well-being.
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Liability Waiver

I hereby affirm that the information provided in this questionnaire is true and complete to the best of my knowledge. I understand that providing false or incomplete information may put me at risk during physical activities. I agree to inform Undisputed FMA of any changes in my health status or medication that might affect my participation in the fitness program. I am aware of the risks in observing or participating in the activities offered and sponsored by Undisputed FMA and I understand that all programs I participate in are entirely at my own risk and perils, also assuming complete responsibility and liability for those risks and for the injuries that may occur as a result of these risks, even if injuries occur in a manner that is not foreseeable at the time of signing.
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Customer Information - Cancellation Policy

All cancellations must be received at least 24 hours before your training session in order to avoid being charged. Clients who do not cancel with 24 hours notice will be charged 50% of a regular price session for the cancellation. Undisputed FMA understands that emergencies happen, and we provide every customer with one free short-notice cancellation. You will not be charged for your first cancellation with less than 24 hours notice. Subsequent and frequent short notice cancellations will be charged for the session. No shows are not eligible for the free cancellation. If you are a member through a monthly membership scheme, you will not be entitled to a credit and/or reduction in future membership through cancellations. By signing this form you hereby agree to these terms concerning our cancellation policy.
Should be Empty:

UFMA Onboarding

Parent / Guardian (if applicable)

Members Information

Health Information

Fitness Goals Section

Photo Release

Authorisation

Liability Waiver

Customer Information - Cancellation Policy