Membership Form

Teens Class Form

The Grappling Society
Thanks for your interest in our Teens Class!

This session runs every Wednesday 6–7pm and is No-Gi, which means no special uniform is required—just come in pocket-free, zip-free sportswear, bring a drink, and some slip on shoes like sliders or flip flops for moving on and off the mats.

Your first class is free! After that its £5 per class, pay as you play, this can be paid by cash, card or payment link at the start of class.

You'll need a parent or guardian to complete this form before attending. Please select the date of your first class below so we know when to expect you and can give you a proper welcome!
Select your trial class*
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Date
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian E-mail*
example@example.com
Parent/Guardian Contact Number*

Country CodePhone Number
Secondary emergency contact*

First NameLast Name
Secondary Emergency Contact Phone number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityCounty

Postal / Zip CodeCountry
Health Declaration (Par-Q)
Common sense is your best guide when you answering this questionnaire. Please read the questions carefully and answer each one honestly: check YES or NO.

Par-Q*

	Yes	No
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
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 lose balance because of dizziness or do you ever lose consciousness?
Do you have bone or joint problem (for example, back, knee, or hip) that could be worsen by a change in your physical activity?
Is your doctor currently prescribing drugs (for example water pills) for your blood pressure or heart condition?
Do you have any medical conditions or pre-existing injuries that may affect your participation in physical activity?
Do you know of ANY other reason why you should not do physical activity?

If you answered YES to any of the above, please provide details here:
If you answered YES to any of the above questions you should talk to your doctor to recieve medical clearance before you begin training at The Grappling Society.

By signing below I declare that I have read, understood and answered the PAR-Q honestly and completed any required follow up actions.

Any questions I had were answered to my full satisfaction.
Child's Signature

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Parent/Guardian Signature*

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Additional Information

This information will be kept confidential and used solely to help us create a safe and supportive environment for every child.
Is there anything else we should be aware of to help us support your child in class?
This might include specific learning needs, neurodiversity (such as autism or ADHD), medical conditions, cultural/religious considerations, or any other context that could help us understand how they learn, communicate, or interact with others.
Pick-up / Drop-off Responsibility
Participants must be collected promptly from inside the gym at the end of class. Please list any other adults authorised to collect your child. If your child is permitted to leave the premises unaccompanied, please confirm this below.
Please select one or both options and provide details below:*

My child has permission to leave the class and travel home unaccompanied.My child will be collected by a named adult(s).
Named adults approved for drop off/pick up:
If ever someone not listed above will be collecting your child, you must inform a member of staff directly, by message, email or face to face, before the end of the class in question.

Liability Waiver
I am aware of the risks in observing or participating in the activities offered and sponsored by The Grappling Society, and I understand that all sports or fitness activities I engage in are entirely at my own risk. I assume full responsibility and liability for any such risks and for any injuries that may occur, even if those injuries are not foreseeable at the time of signing this agreement. I understand that by voluntarily assuming these risks, I accept sole responsibility for any loss or damage I may sustain, including personal injury, property damage, or death.

I understand that all participants must hold valid membership with the UKBJJA (United Kingdom Brazilian Jiu-Jitsu Association). Membership details and registration can be found at www.ukbjja.org/membership. I acknowledge that failure to hold this membership may result in being uninsured while participating in any classes or activities.
I confirm I hold (or will obtain) valid UKBJJA membership before participating in any classes.
Terms and Conditions
All members and visitors are expected to treat coaches and training partners with respect and abide by the rules set out within each session to ensure all members safety on the mats. Any failure to adhere to these expectations may result in your immediate expulsion from a specific class or the gym as a whole at the discretion of The Grappling Society.

Mat fees are £5 per session and must be paid in advance of each class. Payment can be made by cash, card, or secure payment link. We kindly ask that payment is completed before the session begins, as participation cannot be permitted without it.

By signing, you acknowledge and agree to abide by these terms and conditions.
Informed Consent
You consent to The Grappling Society taking photographs and/or videos of you during classes, events, or other activities for promotional and marketing purposes, including but not limited to use on our website, social media, and promotional materials. If you do not wish to be photographed or filmed, please inform a member of the team.

You acknowledge that you are aware of the close-contact nature of Brazilian Jiu-Jitsu, which may involve physical contact with other participants. You confirm that you have provided accurate information regarding your health and fitness and understand the potential risks associated with training.

Additionally, you consent to The Grappling Society collecting, storing, and processing your personal data in accordance with our privacy policy for the purpose of membership management, emergency contact, and communications. You understand that this data will be handled securely and in compliance with data protection laws.

You confirm that any questions you may have have been answered to your satisfaction by a member of the team.
First Aid & Injury Reporting Protocol
You acknowledge that injuries may occur during training, and in the event of an injury, you agree to immediately report it to a coach or staff member.

The Grappling Society will provide basic first-aid assistance on-site, but you understand that more serious injuries may require medical attention. You also agree to follow any guidance or instructions given by staff regarding your injury and recovery. If necessary, you will seek medical advice before resuming training.

The Grappling Society reserves the right to suspend or modify your participation in training based on the severity of your injury, to ensure your safety and well-being.
By signing below, I confirm that I am the parent or legal guardian of the participant, and that we have both read and understood all of the information provided in this form. I acknowledge that any questions we had have been answered to our satisfaction by a member of The Grappling Society team, and I agree to the terms and conditions outlined above.
Child Signature

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Parent/Guardian Signature*

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Should be Empty:

Teens Class Form

Health Declaration (Par-Q)

Additional Information

Pick-up / Drop-off Responsibility

Liability Waiver

Terms and Conditions

Informed Consent

First Aid & Injury Reporting Protocol