Form
  • Medical Disclaimer – Higher Level MMA

    The training programs, techniques, sparring, conditioning drills, and other physical activities offered at Higher Level MMA are physically demanding and carry inherent risks. By participating in any class, program, open mat session, or event, you acknowledge and accept full responsibility for your physical health and well-being.

    Important Notice:

    The information and guidance provided by our coaches, staff, and facility is intended for educational and training purposes only and does not constitute medical advice.
    We strongly recommend that all participants consult with a physician or licensed healthcare provider beforebeginning any new exercise, martial arts, or combat sports program—especially if you have a history of injury, illness, or medical conditions.
    If you experience dizziness, pain, shortness of breath, or any other concerning symptoms during training, you must stop immediately and seek appropriate medical attention.
    Assumption of Risk:
    By attending and participating in training at Higher Level MMA, you voluntarily assume all risks associated with physical activity, including but not limited to bruises, sprains, strains, concussions, broken bones, and other injuries that may result from contact or non-contact training.

    Liability Waiver:
    Higher Level MMA, its owners, staff, instructors, affiliates, and partners are not responsible or liable for any injury, illness, or medical condition sustained during or after participation in any training session, class, or event at our facility.

    Emergency Protocol:
    In the event of a medical emergency, our staff will take reasonable steps to assist while professional medical help is sought. It is your responsibility to maintain updated emergency contact and health information on file with our gym.

    By entering our facility or enrolling in any program, you agree to the terms outlined in this Medical Disclaimer and any associated waiver forms.

  • Form

  • Date
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  • DOB
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  • Has a doctor ever said that you have a heart condition or that you should only do physical activity recommended by a doctor?
  • Do you experience chest pain during physical activity?
  • Have you ever felt faint, lightheaded, or lost consciousness during or after exercise?
  • Do you have any bone, joint, or muscle problems (e.g., knee, shoulder, back) that could be made worse by physical activity?
  • Have you had surgery in the past 12 months?
  • Are you currently taking any prescribed medication for a chronic condition (e.g., heart disease, asthma, diabetes, high blood pressure)?
  • Do you have any known allergies or medical conditions that we should be aware of (e.g., epilepsy, asthma, diabetes, bleeding disorders)?
  • Do you have or have you ever had a concussion or other head injury?
  • Are you currently pregnant or have you recently given birth? (Females only)
  • Do you know of any other reason why you should not participate in physical activities or combat sports?
  • If you answered “Yes” to any question, we strongly recommend that you consult with your physician and provide written clearance before participating in training at Higher Level MMA.

    Participant Signature:

  • (Parent/Guardian Signature (if under 18):)

  • Should be Empty: