ASCsignin Sign in Register for ASC Who is your trainer today?*LeanneCraigStewartPLEASE ASK for the name of your trainer now!Your Name* First Last This will be the name on your certificate.Your Email* We will send a feedback survey and training reminders to this address.What is the name of the organisation where the training is taking place today?*What organisation is hosting the training today?Medical QuestionnaireIn order to keep you safe today, we ask that you carefully complete the following. Dynamis Training courses incorporate many exercises, drills and scenarios which help our learners to develop the skills needed to be confident in the prevention and management of situations where people are becoming frustrated, distressed and even violent. Many of our courses include physical practice where you may be asked to replicate physical tactics used in interpersonal confrontations. The documentation below has been developed and used to keep all of our learners safe in thousands of training sessions, since 2006. Thank you for helping us, to help you!Do you have any medical conditions which you feel the instructor should be aware of today in order to keep you safe?*Yes I wish to declare medical issuesNo issues to declareI'm not surePlease declare any diagnosed medical conditions you have which may affect your ability to take part in this training course. If in doubt, please disclose the condition and discuss with your trainer.Please indicate the medical condition(s) which you are declaring to the instructor.* Pregnant Heart Condition Chest Pains HIgh Blood Pressure Diabetes Asthma Hernia Epilepsy Migraine Prescribed Medication (please detail below) Surgery in the last 5 years (please detail below) Do you have any notable injury or pains in your limbs which you feel the instructor should be aware of today in order to keep you safe?*Yes I need to declare some issuesNo issuesI'm not surePlease declare any injury or pains in your limbs that you have, which may affect your ability to take part in this training course. If in doubt, please disclose the issue and discuss with your trainer.What are the notable pains or injuries in your limbs? Please describe where your issues are located so that our trainer can keep you safe.* Arthritis Back / Neck Shoulder / Elbow Wrist / Hand Hip / Knee Ankle / Foot If you have ticked any of the above sections and need to add detail, or if you have any other concerns regarding your emotional, psychological and physical wellbeing during the course please give further brief details in the box below.Acceptance to Undertake Physical Skills Training* Select All I accept to undertake the forthcoming course and I have declared above any personal limitations I may have with regard to undertaking a physical course and I have completed the medical questionnaire highlighting any physical issues. I accept that no physical course can offer a complete guarantee of safety and that there is a risk involved with regard to injury on undertaking such training. I will at all times conduct myself with due regard to my and other persons' health and safety on the course and I will obey all lawful instructions given to me and comply as far as is practicable with the safety rules provided for my safety. If I am injured during the course I will immediately bring this to the attention of a course tutor. I accept that if I act in any intentionally negligent way that compromises my safety or the safety of others or which causes harm to myself or others I may be removed from the training immediately at the discretion of the course tutors. I will bring to the tutors attention anything that I feel is a risk to any person (including the course tutors) which comes to my attention during the duration of the course. This also involves any actions by others on the course. Agreement to the Training Rules* Select All I will remove all jewellery before practicing any physical skills I will listen to and follow the Safety instructions given by the tutor I will NOT attempt to try any action which has not been specifically instructed I will work slowly, smoothly and at a safe learning pace I understand that I am responsible for my and others' safety I will report injury, pain or discomfort immediately If I hear the 'STOP' command I will immediately stop practice I understand that the STOP command is a loud, clear command. I understand that any person may use the STOP command. I understand that the STOP command is a safety ALERT. I understand that if I miss more than 10% of the course training time, I may not be fully certificated I give permission for Dynamis to video record this training session for safety and auditing purposes, and I understand that my identity will not be revealed in this recording unless in court proceedings, or with my direct permission. Consent I agree to the privacy policy.
