FederWyrm Adult Assumption of Risk, PAR-Q and Liability Waiver

FederWyrm Adult Assumption of Risk and Liability

Important Notice: Martial arts training carries inherent risks, including physical exertion, contact with others, and the possibility of injury. This document outlines these risks and ensures that you, as a participant, acknowledge and accept them before engaging in any training activities at FederWyrm.

1. Participant Details

Full Name

Date of Birth

Date

Contact Number

Email Address

example@example.com

Emergency Contact Name

Emergency Contact Number

2. Acknowledgement and Assumption of Risk

I, the undersigned, wish to participate in martial arts training at FederWyrm, which includes training in Historical European Martial Arts along with other self-defence and combat techniques. I acknowledge that martial arts training involves rigorous physical exertion, close contact with other participants, and potential impact with training equipment, surfaces, and the ground. These activities present inherent risks, including but not limited to:

Bruises, strains, sprains, fractures, and dislocations.
Concussions, head trauma, and impact-related injuries.
Joint injuries, muscle tears, or soft tissue damage.
Risk of falls, slips, or accidental collisions with other participants.
Rare but serious risks including paralysis or death.
Emotional or psychological distress related to high-intensity training.
Exposure to communicable diseases due to close-contact training.

I understand that while FederWyrm and its instructors take every reasonable precaution to promote safety and teach injury-prevention methods, it is not possible to eliminate all risks associated with martial arts training. I voluntarily accept full responsibility for my participation, with full knowledge of these risks. By signing this document, I expressly accept and assume all risks associated with participating in martial arts training at FederWyrm. This assumption includes risks arising from the negligence of the club, its instructors, owners, employees, volunteers, or other participants, as well as any risks related to equipment or premises.

3. Physical Activity Readiness Questionnaire (PAR-Q)

IMPORTANT: The following questionnaire is designed to help identify any potential health risks before participating in physical training at FederWyrm . Please answer all questions honestly and consult a medical professional if you are unsure about any responses.

Do you have, or have you ever had, any of the following conditions? (Please tick 'Yes' or 'No' for each)

Heart disease or any heart-related condition?

YESNO

High or low blood pressure?

YESNO

Chest pain during physical activity?

YESNO

Fainting, dizziness, or loss of consciousness?

YESNO

Asthma, respiratory issues, or difficulty breathing?

YESNO

Diabetes or metabolic disorders?

YESNO

Joint or bone problems that could be worsened by physical activity?

YESNO

History of head injuries, concussions, or seizures?

YESNO

Currently pregnant, or given birth in the last 6 months?

YESNO

Any other medical condition not listed above?

YESNO

If you answered Yes to any of the above please provide further details

Are you currently taking any medications that may affect your ability to exercise?

YESNO

If yes please list them

Have you recently undergone surgery or been advised to limit your physical activity?

YESNO

If yes please provide details

Do you have any injuries, disabilities, or mobility restrictions that may affect your ability to participate in training?

YESNO

If yes please explain

Do you require any special assistance or adaptations to participate safely? YesNo

Any other medical condition not listed above?

YESNO

If yes please provide details

4. Code of Conduct and Safety Responsibilities

As a participant at FederWyrm, I understand that I have a duty to train responsibly and to follow all safety guidelines, including: Listening to and following instructions from instructors and staff. Maintaining control and discipline in all training activities. Wearing appropriate protective gear where required. Respecting training partners and avoiding reckless behaviour. Informing an instructor immediately if I feel unwell or sustain an injury. Not participating in training while under the influence of alcohol, drugs, or any substances that may impair my judgment. Failure to adhere to these responsibilities may result in my exclusion from training at FederWyrm.

5. Release of Liability

In consideration of being permitted to participate in martial arts activities at FederWyrm, I, on behalf of myself, my heirs, executors, and assigns, hereby release, waive, and discharge FederWyrm, its owners, directors, instructors, employees, agents, and representatives from any and all liability for injuries, accidents, illnesses (including death), property loss, or any other claims resulting from my participation in martial arts activities.

This waiver includes, but is not limited to, claims arising from: Negligence on the part of FederWyrm or its instructors. Injury due to defective or inadequate equipment.

Accidents occurring on the premises or during club-sanctioned activities. Acts or omissions of other participants.

Note: This waiver does not exclude liability for injury or loss caused by proven negligence or breach of duty under UK law.

6. Acknowledgement of Understanding

Ihave read and fully understood this Assumption of Risk and Liability Waiver. Iam signing this document freely and voluntarily. I understand that this agreement limits my legal rights and that I am waiving any claims against FederWyrm for injuries or losses sustained during training. I agree to abide by all safety guidelines and club policies.

Participant Signature

Date

Instructor Signature (please pass to instructor to sign)

Date

If you have any questions regarding this form or the risks associated with martial arts training, please speak to an instructor before signing.