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6 Towns GrapplingNamahage Fight Club

Before your first session

Waiver & PAR-Q

Every member completes this once — a training waiver plus the standard Physical Activity Readiness Questionnaire. It takes two minutes and saves paperwork on the mat. Under 18s must be signed by a parent or guardian.

1. Participant details
2. Emergency contact
3. PAR-Q health questionnaire

Physical Activity Readiness Questionnaire. If you answer yes to any question, please give details below — it does not stop you training, it helps our coaches keep you safe.

1.Has a doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor?

2.Do you feel pain in your chest when you do physical activity?

3.Do you lose your balance because of dizziness, or do you ever lose consciousness?

4.Do you have a bone or joint problem that could be made worse by a change in your physical activity?

5.Is your doctor currently prescribing medication for your blood pressure or a heart condition?

6.Are you pregnant, or have you given birth within the last 6 months?

7.Do you know of any other reason why you should not take part in physical activity?

4. Waiver & declaration

I acknowledge that training in boxing, kickboxing, grappling, wrestling, MMA and Brazilian Jiu-Jitsu at 6 Towns Grappling / Namahage Fight Club involves physical contact and a risk of injury. I confirm I am medically fit to take part, or have declared any condition above.

I release the club, its coaches and volunteers from liability for injury, loss or damage except where caused by proven negligence. Nothing in this waiver limits liability for death or personal injury caused by negligence under UK law, or affects your statutory rights.

Where the participant is under 18, this form is completed and signed by their parent or legal guardian on their behalf.