Student Forms

Please familiarise yourself with the website menu links and read the information available on the following pages to get a good understanding of our club before filling out this form;

It is also strongly advised to read through the rest of the policies on our ‘LEGAL’ menu at the top before beginning your training with us.

IF YOU ARE UNDER 18, A PARENT WILL HAVE TO FILL THIS FORM OUT ON YOUR BEHALF AND READ OUR PARENTAL STANDARDS POLICY

BASIC INFORMATION

Preferred method of contact

Please Join our Facebook group: https://www.facebook.com/groups/CloseCombatMA (opens in a new tab)

We sometimes take a group photo at the end of lessons for the website, record footage for promotional videos and take photos and videos at gradings and competitions, it is absolutely fine to not want to be included if you don’t want yourself or your child to do so.

If you are filling this out for yourself or a student under the age of 18, please tick all the boxes that apply

What training sessions would you be available for

Do you want to subscribe to email updates?

Gender

When you pay the CCMA annual membership fee for the first time you will receive a White Grade T-shirt. We need to know your size in advance to make sure we have your T-Shirt type and size in stock and ready to give you upon joining. Please check the size guide and T-Shirt images below and tick the correct boxes for your chosen T-Shirt type and size:

T-Shirt Type:

Size: (Please pick a size for your type of T-shirt)

Hand Circumference:

EMERGENCY CONTACT INFORMATION

MEDICAL HISTORY

History of heart problems? (Chest Pains, heart murmur or stroke)

Diabetes?

Asthma, breathing or lung problems?

Allergies?

Cancer?

Seizures, seizure medication, neurological problems or dizziness?

High blood pressure?

Recent surgery? (past 12 months)

Hernia or any condition that may be aggravated by exercise?

Previously received advice about exercise?

History of high cholesterol?

Family history of coronary heart disease?

Do you smoke tobacco products?

Do you consume excessive alcohol?

Do you take supplements of any kind?

Are you on any medication?

Back problems, joint or muscle disorder still affecting you?

Do you have any skeletal injuries?

Excessive stress, depression anxiety or sleep disorder?

If you are filling this form in for anyone under the age of 18, do you give parental consent to carry out emergency first aid and/or other necessary medical treatment if the need arises?

FITNESS LEVEL AND GOALS

What are your fitness concerns or goals?

STATEMENT OF TRUTH

I have truthfully filled out the personal information, medical history and fitness level and goals forms to the best of my knowledge at this current time.

I understand CCMA is covered with public liability insurance and I will get student insurance, I will take every precaution necessary to maintain my own health and safety, taking advice from my doctor and instructor seriously.

I understand that I have to follow instructions carefully, exercise control whilst learning at a steady pace for my own and my training partner's skill level and take care not to cause harm to other students.

I confirm that I understand in full that any activity in which I participate will carry inherent risks associated with any practice or competition within combat arts, martial arts or self-defence. Furthermore, I understand that the risk of serious injury is present and I will follow all safety rules and regulations in place to help protect me and my fellow students during training.

I have read the Assumption of Risk notice listed in the Students Menu on this website and I wish to participate in lessons, training sessions, gradings, and possibly competitions, provided by Close Combat Martial Arts and any registered instructors, coaches, or staff.

I confirm that I have familiarised myself with the FAQ page, Club Charter, Club Rules, Club Principles, Club Grades and Our Safeguarding Policy. and I have consulted with my Instructor if I don't understand any of the information provided.

I confirm that I understand the nature of the activity in which I am about to participate, and appreciate that any practice of combat, self-defence or martial art usually includes a degree of martial arts-based fitness training. With this in mind, I can agree that I am fit to participate and agree to assume all risks associated with the above, hereby withdrawing any liability from the named club, instructors, association, or other relevant parties.

I understand that if I fail to inform my instructor of any health issues that may later cause me problems, or fail to follow advice from my doctor, I am fully liable for the consequences.

Should I be unclear on any risks involved, or not feel comfortable releasing the above-named from all positions of liability, I will not sign this document. Please take my signature as my acceptance and assumption of all risks involved, as described to me by my instructor and stated within this document.