Prestige Combat Academy client assessment form
  • MEMBERSHIP FORM

    Registered as TRAINWITHJAY LONDON LTD
  • FITNESS,Muay Thai, Kickboxing MEMBERSHIP FORM

    Please use this form when signing up to Prestige Combat Academy, Muay Thai and Kickboxing activities. This form applies for any of the Physical Activity classes or sessions described in this Form.
  • SECTION 1: DATA PRIVACY AND ACCESS TO DATA

  • 1. Data Privacy and Access to Data or confidential information

    1.1 As a participant or member of Prestige Combat Academy,Muay Thai and Kickboxing activities, you may have access to (or may learn of) information of a confidential nature including personal volunteer, donor and/or member details. Confidential information includes the contents of Prestige Combat Academy manual, which should not be disclosed to people outside of the project. When someone gives us any confidential information, they need to be sure that we will not pass this on to anyone else without their prior permission. The only exception to this is if you have been party to any information which raises a concern to you, such as a safeguarding matter. In this case, you will be expected to share this with the nominated safeguarding person for Prestige Combat Academy. Confidential information includes (but is not limited to) payment machines, data stored on a electronic device or computer, data collection system entries, spoken words and presentations, printed documents, loose notes, diaries, memoranda, drawings, photographs, electronic, magnetic and optical storage, and computer printouts.
  • 2. Confidentiality Statement

    2.1 You understand that while using the services of Prestige Combat Academy registered as TrainwithJay London Ltd you may come across information that is confidential. You agree that you will never disclose such confidential information to anyone outside of the class, subject to the exception outlined above. You also agree to respect the intellectual property of Prestige Combat Academy registered as TrainwithJay London Ltd and not to pass on any data or documentation you may use in the course of my relationship with Prestige Combat Academy registered as TrainwithJay London Ltd to anyone outside of the program. You understand breaches of this agreement could result in termination of membership with Prestige Combat Academy registered as TrainwithJay London Ltd. 
  • 3. Purpose

    3.1 Purpose: You agree to accept services from Prestige Combat Academy registered as TrainwithJay London Ltd in the capacity as Member ("Member") or Participant ("Participant"). In the course of using these Services, you as the Member/ Participant may have access to confidential information of Prestige Combat Academy registered as TrainwithJay London Ltd.
  • 4. Definition of Confidential Information

    4.1 Definition of Confidential Information: Confidential Information shall include, but not be limited to, any and all information related to the Prestige Combat Academy registered as TrainwithJay London Ltd operations, finances, donors, beneficiaries, projects, strategies, plans, intellectual property, and any other information identified by Prestige Combat Academy registered as TrainwithJay London Ltd as confidential.
  • 5. Confidentiality Obligations

    5.1 Confidentiality Obligations: The Member agrees to maintain the confidentiality of all Confidential Information obtained during the course of accepting the Services to Prestige Combat Academy registered as TrainwithJay London Ltd. The Member shall not disclose, directly or indirectly, any Confidential Information to any third party without the prior written consent of the Prestige Combat Academy registered as TrainwithJay London Ltd.
  • 6. Use of Confidential Information

    6.1 Use of Confidential Information: The Member agrees to use Confidential Information solely for the purpose of using the Services provided by Prestige Combat Academy registered as TrainwithJay London Ltd. The Member shall not use Confidential Information for any other purpose without the prior written consent of Prestige Combat Academy registered as TrainwithJay London Ltd.
  • 7. Exceptions

    7.1 Exceptions: The obligations of confidentiality under this Agreement you shall not apply to any information which: (a). is already known to you as the Member at the time of disclosure and is not subject to any other confidentiality obligation; (b). Becomes publicly known through no fault of the Member; (c). Is independently developed by the Member without the use of Confidential Information; (d). Is rightfully obtained by the Member from a third party without restriction on disclosure; or (e). Is required to be disclosed by law or a valid court order, provided that the Member gives prompt notice to the Prestige Combat Academy registered as TrainwithJay London Ltd to allow the Charity to seek a protective order or other appropriate remedy.
  • 8. Return of Confidential Information

    8.1 Return of Confidential Information: Upon termination or conclusion of the Member's relationship with Prestige Combat Academy registered as TrainwithJay London Ltd or upon request, Prestige Combat Academy registered as TrainwithJay London Ltd shall promptly return or destroy all Confidential Information, including any copies or reproductions thereof, in Prestige Combat Academy registered as TrainwithJay London Ltd's possession or control.
  • 9. Duration

    9.1 Duration: The obligations under this Agreement shall survive the termination of the Members's relationship with Prestige Combat Academy registered as TrainwithJay London Ltd and shall continue for a period of six years from the date of termination.
  • SECTION 2: MEMBERSHIP TERMS AND CONDITIONS

    10.1 Please ensure you read and understand the following Terms and Conditions before you sign up.
  • 10. Terms and Conditions Explained: Risk of harm or injury

    Prestige Combat Academy registered as TrainwithJay London Ltd, Muay Thai and Kickboxin: Terms and Conditions. Assumption of Risk: Participation in martial arts such as Muay Thai and Kickboxing for self defence, as well as fitness and exercise classes, inherently carries a risk of harm and injury. As a member you acknowledge and accept these risks as part of participation in the programs or services offered by Prestige Combat Academy registered as TrainwithJay London Ltd.
  • 11. Disclaimer

    Disclaimer: By enrolling in any of the programs offered byPrestige Combat Academy registered as TrainwithJay London Ltd, you agree to waive any claims against Prestige Combat Academy registered as TrainwithJay London Ltd, its officers, coaches, instructors, and representatives for any injury, harm, or damage that may occur during or as a result of your participation. You understand that you are solely responsible for your own safety during training sessions and events and should take all steps to follow the proper and correct instruction of the Instructor, Coach or officer of Prestige Combat Academy registered as TrainwithJay London Ltd.
  • 12. Waiver of Liability

    Waiver of Liability: by signing this Agreement you hereby acknowledge that you are voluntarily participating in the Fitness, Muay Thai, Combat Sports, and Kickboxing programs offered by Prestige Combat Academy registered as TrainwithJay London Ltd ("PCA"). You understand that participation in these activities carries inherent risks of harm and injury, including but not limited to, bodily injury, sprains, strains, fractures, concussion, or even death. You voluntarily assume all risks associated with your participation in these programs. You understand and acknowledge that PCA, its officers, coaches, instructors, and representatives cannot guarantee your safety or prevent accidents from occurring during training sessions and events. You acknowledge that PCA has advised you to obtain medical clearance from a qualified healthcare professional before participating in these activities, and you affirm that you have either obtained such clearance or voluntarily chosen to participate without it. In consideration of being permitted to participate in the programs offered by PCA, you hereby waive, release, and discharge PCA, its officers, coaches, instructors, and representatives from any and all liability for any injury, harm, or damage that may occur to you during or as a result of your participation in these activities. This waiver includes, but is not limited to, liability for negligence, gross negligence, or recklessness on the part of PCA or its agents. You further agree to indemnify and hold harmless PCA, its officers, coaches, instructors, and representatives from any and all claims, demands, actions, or causes of action arising out of or in connection with my participation in the programs offered by PCA. You understand that this waiver of liability is a binding legal agreement and that you are giving up certain legal rights by signing it.
  • 13. Medical Clearance Explained:

    Medical Clearance: Participants affirm that they are in good physical condition and have no medical conditions that would prevent them from safely participating in the programs offered by PCA. Participants agree to seek medical clearance from a qualified healthcare professional if they have any concerns regarding their health or ability to participate.
  • 14. Code of Conduct:

    Code of Conduct: Participants agree to conduct themselves in a respectful and sportsmanlike manner at all times during training sessions and events. Any behavior deemed inappropriate or disruptive by PCA staff or instructors may result in disciplinary action, including termination of membership.
  • 15. Payment and Fees:

    Payment and Fees: Participants agree to pay all membership fees and dues in a timely manner as specified by Prestige Combat Academy registered as TrainwithJay London Ltd. Failure to make payments may result in suspension or termination of membership. Payment should be made directly to the Bank Account of Prestige Combat Academy registered as TrainwithJay London Ltd, which will be forwarded to you once you have signed this Agreement.
  • 16. Cancellation and Refunds:

    Cancellation and Refunds: Participants understand that membership fees and monthly fees are non-refundable except in cases wherePrestige Combat Academy registered as TrainwithJay London Ltd cancels a program or event. Participants may request to cancel their membership in writing, and refunds will be provided at the discretion of Prestige Combat Academy registered as TrainwithJay London Ltd.
  • 17. Use of Facilities, Equipment and Services:

    Use of Facilities, Equipment and Services: Participants agree to use PCA facilities and equipment responsibly and in accordance with the instructions provided by PCA staff and instructors. Participants are responsible for any damage to facilities or equipment caused by their negligence or misuse.
  • 18. Photography and Media:

    Photography and Media: Participants consent to the use of their likeness in photographs, videos, and other media for promotional purposes by PCA. Participants may request in writing to opt-out of such use of their likeness.
  • 19. Changes to Terms and Conditions

    Changes to Terms and Conditions: PCA reserves the right to amend or update these terms and conditions at any time. Participants will be notified of any changes, and continued participation in the programs offered by PCA will constitute acceptance of the revised terms and conditions. By signing this Agreement, you acknowledge that you have read and fully understand the terms of this waiver, and you voluntarily agree to its terms.
  • SECTION 3: PARTICIPATION GUIDELINES: Hygiene, Health and Conditions

    Guidelines for Muay Thai and Kickboxing Participants: Personal Hygiene and Health/Trimming of Nails: Keep your nails trimmed short to prevent scratching or injuring yourself and others during training. Long nails can easily tear skin or cause abrasions, so it's important to maintain them regularly. Oral Hygiene: Maintain good oral hygiene by brushing your teeth and using mouthwash regularly. Bad breath can be off-putting for training partners, so it's essential to maintain fresh breath during training sessions.Body Odor: Take a shower before attending training sessions to ensure you are clean and free from body odor. Use deodorant or antiperspirant to minimize body odor during training. Washing of Training Clothing:Wash your training clothing after every training session to prevent the buildup of bacteria and odors. Use a mild detergent and wash in hot water to effectively remove sweat and bacteria. Avoiding Training When ill: Do not attend training sessions if you are feeling unwell or exhibiting symptoms of illness, such as a cold, flu, or COVID-19.Training while ill not only compromises your own health but also increases the risk of spreading illness to others in the gym. Skin Rashes or Diseases: Refrain from training if you have any skin rashes, infections, or diseases such as ringworm. Skin conditions can easily spread among training partners, so it's crucial to seek treatment and avoid training until the condition has cleared up. Additional Tips: Wash your hands frequently, especially before and after training sessions, to prevent the spread of germs. Use hand sanitizer if soap and water are not readily available. Cover any cuts, scratches, or open wounds with clean bandages or dressings to prevent infection and minimize the risk of spreading bloodborne pathogens. Avoid sharing personal items such as towels, water bottles, or equipment with other participants to reduce the risk of cross-contamination. By following these guidelines, you not only maintain your own personal hygiene and health but also contribute to a clean and safe training environment for yourself and your training partners.
  • 20. Governing Law

    10.1 Governing Law: This Agreement shall be governed by and construed in accordance with the laws of England and Wales.
  • SECTION 4: ABOUT YOU

    In this section you tell us who you are
  • MEDICAL HISTORY

  • PERSONAL DETAILS

  • If you have answered YES to any of the above questions, you must obtain a

    medical clearance prior to carrying out a physical exercise program.

  • HEALTH RELATED BEHAVIOURS

  • PSYCHOLOGICAL

  • Please rate the following. One star being negative to five stars being positive

  • GOALS

  • LIABILITY WAIVER

    Please read carefully before submitting form.

  • I agree, being aware of my own health and physical condition, and having knowledge that my participation in any exercise program may be injurious to my health, am voluntarily participating in physical activity with Prestige Combat Academy, registered as Trainwithjay London Ltd.

    Having such knowledge, I hereby release Prestige Combat Academy, their representatives, agents, and successors from liability for accidental injury or illness, which I may incur as a result of participating in the said physical activity. I hereby assume all risks connected therewith and consent to participate in said program.

    I agree to disclose any physical limitations, disabilities, ailments, or impairments that may affect my ability to participate in said fitness program.

  •  - -
  • Powered by Jotform SignClear
  • Should be Empty: