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Physical Activity Readiness Questionnaire (PAR-Q)

Name: {name}

Date: {sign_date}

Date of Birth: {dob}

For participants under 18:

Parent/Guardian Name: {contact_name}

Please read each question carefully and answer honestly by checking Yes or No:

1. Has a doctor ever said that you/your child have a heart condition AND that you should only do physical activity recommended by a doctor? Yes No
2. Do you/your child feel pain in your chest when doing physical activity? Yes No
3. In the past month, have you/your child had chest pain when not doing physical activity? Yes No
4. Do you/your child lose balance because of dizziness or ever lose consciousness? Yes No
5. Do you/your child have a bone or joint problem that could be made worse by physical activity? Yes No
6. Are you/your child currently taking prescribed medication for blood pressure or a heart condition? Yes No
7. Do you know of any other reason why you/your child should not do physical activity? Yes No

Additional Medical Information:

If you answered YES to one or more questions: Talk to your doctor BEFORE becoming more physically active. Show them this form and discuss which questions you answered YES to.

If you answered NO to all questions: You can be reasonably sure that you can start becoming more physically active. Begin slowly and build up gradually.

Declaration: I have read, understood and completed this questionnaire honestly.

For participants 18 and over: Signature: Date: {sign_date}

For participants under 18: Parent/Guardian Signature: Date: {sign_date}

TERMS AND CONDITIONS {sign_date}

Name: {name}

OVERVIEW
By signing this document, you acknowledge and agree to the following terms and conditions for participation in Celtic Warriors: School of Combat activities and services.

PARTICIPATION AGREEMENT

• I understand that participation in martial arts and combat sports involves inherent risks.

• I agree to follow all safety instructions and protocols.

• I acknowledge that I am participating voluntarily and at my own risk.

• I confirm I have completed the PAR-Q health screening questionnaire truthfully.

HEALTH AND SAFETY

• I will inform instructors of any changes to my health or fitness condition.

• I agree to stop activity if I feel unwell or unsafe.

• I understand Celtic Warriors may require medical clearance before I return to training.

• I agree to use all required protective equipment correctly and maintain it in safe condition.

LIABILITY AND RISKS

• I understand and accept the inherent risks of martial arts training.

• I agree that Celtic Warriors is not liable for injuries sustained during normal training activities.

• I will maintain appropriate personal medical insurance coverage.

• I agree to use proper protective equipment as required.

FACILITY ACCESS AND GUEST POLICY

• I understand that membership is strictly personal and non-transferable.

• I agree not to bring non-members to open gym sessions without prior authorisation.

• I acknowledge that unauthorised guest access will result in a fine of £15 per incident.

• I understand that repeated violations may result in membership termination.

• All guests must sign appropriate waivers and be approved by management before training.

MEDIA CONSENT
[ ] I give permission for photos/videos taken during classes to be used for promotional purposes
[ ] I do not give permission for photos/videos to be used

PAYMENT AND CANCELLATION

• I understand that all membership payments operate on a recurring monthly subscription paid by debit or credit card.

• I acknowledge that payments are taken by recurring card payment, not by Direct Debit, and may not appear as a Direct Debit on my bank statement.

• I confirm I am responsible for monitoring my account balance and ensuring sufficient funds are available.

CANCELLATION METHOD

• I agree to provide a minimum of 3 working days’ notice (Monday–Friday, excluding bank holidays) before the next payment date to cancel my membership.

• All cancellations must be submitted in writing by email to the official Celtic Warriors contact email.

• Verbal cancellations, social media messages, or informal conversations with staff are not valid and will not cancel a membership.

• A cancellation is only effective once written confirmation is issued by Celtic Warriors.

• If no written confirmation is received, the membership remains active and billable.

REFUNDS AND CHARGES

• I understand that payments already processed are non-refundable.

• My membership will remain active until the end of the paid billing cycle.

• I understand that membership fees, missed classes, or lack of attendance do not qualify for refunds.

• Personal circumstances including (but not limited to) relocation, illness, injury, family emergencies, financial hardship, or bank overdraft do not override these terms and do not entitle me to a refund.

• Celtic Warriors reserves the right to adjust membership prices with reasonable notice.

• Membership fees are annualised and calculated across a standard 48-week training year to allow for up to 4 weeks of planned closures (e.g., Christmas, bank holidays, staff training, or events). These closures are already factored into membership pricing and do not generate refunds.

DISPUTES AND CHARGEBACKS

• I agree to contact Celtic Warriors directly to resolve any billing concerns before initiating a chargeback or bank dispute.

• I understand that initiating a chargeback does not invalidate these terms and that evidence of my agreement may be supplied to payment providers.

CODE OF CONDUCT

• I agree to follow the club’s code of conduct and behaviour guidelines.

• I understand that membership may be terminated for misconduct.

• I will treat all members and staff with respect.

DECLARATION
I have read, understood and agree to these terms and conditions.

Signature:
Date: {sign_date}

For participants under 18:
Parent/Guardian Name: {contact_name}
Parent/Guardian Signature:
Date: {sign_date}

Emergency Contact Information:
Name: {contact_name}
Phone: {contact_phone}
Relationship: {contact_relation}

By signing, I confirm I have read and agree to all terms and conditions, including all club policies and procedures.