Thank you for your interest in our combat sports programs! To ensure your safety and enjoyment, please complete this form thoroughly. Your honest answers will help us recommend the most suitable discipline for you.
First Name
Last Name
Date of Birth
Phone Number
Email Address
Street Address
City
State/Province
Postal/Zip Code
Emergency Contact Name
Emergency Contact Phone
Do you have any pre-existing medical conditions, including but not limited to:
Heart conditions?
Respiratory issues (e.g., asthma)?
Neurological conditions (e.g., epilepsy, concussions)?
Joint problems or previous injuries?
Back or neck problems?
Diabetes?
High or low blood pressure?
Any other medical conditions?
Are you currently taking any medications?
Have you ever been advised against participating in strenuous physical activity?
Are you pregnant or think you might be pregnant?
Do you have any allergies?
How would you rate your current fitness level?
Beginner
Intermediate
Advanced
Do you have any prior experience in martial arts or combat sports?
What are your fitness goals?
Weight loss
Self-defense
Competition
General fitness
Other:
How many days a week are you realistically able to train?
How much time are you able to dedicate to each training session?
Please rate your interest in the following combat sports offered (1 = not at all interested, 5 = very interested):
Feel free to add any other combat sports you are interested in.
Combat Sport Name | Rating | ||
|---|---|---|---|
1 | Striking Arts: | ||
2 | Boxing: | ||
3 | Muay Thai: | ||
4 | Kickboxing: | ||
5 | Karate: | ||
6 | Taekwondo: | ||
7 | Grappling Arts: | ||
8 | Brazilian Jiu-Jitsu (BJJ): | ||
9 | Wrestling: | ||
10 | Judo: | ||
11 | Mixed Martial Arts (MMA): |
Are you comfortable with physical contact and sparring?
Are you comfortable with the potential risk of injury associated with combat sports?
What are your primary concerns regarding participating in combat sports?
Are you looking for a sport that emphasizes:
Self-defense?
Competition?
Fitness and conditioning?
Discipline and mental focus?
Stress relief?
What is your preferred learning environment?
Individual instruction
Group classes
Mixed
Other:
I declare that the information provided in this form is true and accurate to the best of my knowledge.
I understand that participation in combat sports carries inherent risks, and I am responsible for consulting with a medical professional if I have any concerns about my suitability for these activities.
Signature:
Thank you for completing this form. We will review your information and contact you to discuss your options and recommend the most appropriate combat sport program for you.
Inquiry Form Insights
Please remove this inquiry form insights section before publishing.
This Combat Sports Inquiry Form is designed to gather comprehensive information about potential students to ensure their safety and find the best fit for their interests and abilities. Let's break down the insights behind each section:
Section 1: Personal Information: This section is straightforward, collecting essential contact details for communication and emergencies. It's crucial for administrative purposes and safety.
Section 2: Health Information: This is arguably the most critical section. It aims to identify any pre-existing medical conditions, injuries, or medications that might affect a person's ability to participate safely in combat sports. Honest answers here are paramount. This information allows instructors to provide appropriate modifications or advise against participation if necessary. It protects both the student and the training facility from potential liability.
Section 3: Fitness and Experience: This section gauges the applicant's current fitness level and prior experience. This helps instructors understand where to start with training and manage expectations. Someone with no prior experience will require a different approach than someone with years of training. Understanding their training goals helps align them with the right program. Knowing their availability helps ensure they can commit to the training schedule.
Section 4: Combat Sport Preferences: This section allows the applicant to express their interest in specific combat sports. The rating system (1-5) provides a clear picture of their preferences. This helps the training facility understand demand and tailor its offerings. It also allows instructors to guide students toward sports that align with their interests.
Section 5: Suitability Questions: This section delves deeper into the applicant's mindset and comfort levels. Questions about physical contact, sparring, and injury risk are essential for ensuring informed consent and managing expectations. Understanding their motivations (self-defense, competition, fitness, etc.) allows instructors to tailor their teaching methods and recommendations. Knowing their preferred learning environment helps optimize their training experience.
Section 6: Declaration: This is a standard legal clause where the applicant confirms the accuracy of their information and acknowledges the inherent risks of participating in combat sports. It reinforces personal responsibility and helps protect the training facility.
Overall Insight:
The form's purpose is multifaceted:
By carefully reviewing the answers on this form, instructors can create a safe, effective, and enjoyable learning environment for all participants. It's a crucial first step in building a strong and responsible combat sports community.
Mandatory Questions Recommendation
Please remove this mandatory questions recommendation section before publishing.
That's a great question to ensure you're getting the essential information! Based on the purpose of the Combat Sports Inquiry Form, the mandatory questions are those directly related to safety, contact information, and the applicant's understanding of the risks. Here's a breakdown of why certain questions are crucial and thus, effectively mandatory:
Why other questions are highly recommended but might not be strictly mandatory in a legal sense (though strongly advised for good practice):
In summary, to ensure safety, proper communication, and legal protection, the following fields should be considered mandatory:
While the other sections provide valuable information for tailoring the experience, the ones listed above are the absolute minimum necessary for responsible client intake in a combat sports setting. You might consider marking these fields as required on a digital form or explicitly stating their importance on a physical form.