Krav Maga

Booking form

Use this form to book your place at the next induction course, taking place on Sunday 31st August 2.00-5.00 pm

Places are limited so book early. You will recieve a confirmation letter or email. If you cannot attend please notify us so we can give the place to another student.

  • Name*:

  • Street/No.*:

  • Town*:

  • Postcode*:

  • Phone*:

  • Email*:

  • If under 18 years, please give date of birth:

* mandatory

Health Questionare

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

YES
NO

Do You feel pain in your chest when you exercise?

YES
NO

In the past month have you had chest pain when you are not doing physical activity?

YES
NO

Do you ever feel faint or have spells of dizziness ?

YES
NO

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

YES
NO

Have you ever been told that you have High Blood pressure?

YES
NO

Do you know of any reason why you should not do physical activity?

YES
NO

If you answered YES to one or more questions, please consult with your doctor before you start becoming physically active.

If you answered NO to all the questions, it is safe for you to start becoming physically active

DELAY BECOMING MUCH MORE ACTIVE

If you are not feeling well because of a temporary illness such as a cold or fever or

If you are or maybe pregnant - talk to your doctor before you start becoming more active

I understand that it is my responsibility to inform the instructors if my health status changes from the above

INFORMED USE: Your Krav Maga Instructors and the IKMF assume no liability for persons who undertake classes.

If in any doubt after completing this questionnaire consult your doctor prior to undertaking physical activity

I ACCEPT
I DO NOT ACCEPT