WELCOME! What is today's course number please? (ask your trainer or look for it on the board)
What is your organisation's name?
(Required)
Who is your trainer today?
(Required)
Please ask if you don't know yet!
Please select
Gerard
Zeb
Heidi
Alex
Keith
Zach
Mike
Matt
What is your First Name?
What is your Last Name?
Please tell us your Email Address to send you resources and get your feedback!
Do you have any Injuries or Pains which would effect your ability to take part in the training?
(Required)
Examples: Head, Back, Neck, Shoulder, Elbow, Wrist, Hand, hip, knee, ankle or foot injuries or pain, including arthritis.
Yes I need to declare in injury or pain
No issues
Injuries or Pains
Arthritis
Back/Neck pain or injury
Shoulder/Elbow pain or injury
Wrist/Hand pain or injury
Hip/Knee pain or injury
Ankle/Foot pain or injury
Another pain issue for discussion with trainer
Another injury for discussion with trainer
Do you have any medical conditions which would effect your ability to take part in the training?
(Required)
Examples: Pregnant, Heart Condition, Chest Pains, High blood Pressure, Diabetes, Asthma, Hernia, Epilepsy, Migraine. Prescribed Medication, Surgery in last 5 years.
Yes I need to declare a medical condition.
No issues
Medical Conditions
Pregnant
Heart Condition
High Blood Pressure
Chest Pains
Diabetes
Asthma
Hernia
Epilepsy
Migraine
Prescribed Medication
Surgery in the last 5 years
Other for discussion with trainer
Do you have any concerns about your emotional or psychological safety which could impact your ability to engage with the training course, which will deal with issues of personal conflict, aggression, crisis or violent behaviour.
(Required)
Is there anything which your trainer should be aware of? It is important to allow the trainer to support you. Many of our courses include physical practice where you may be asked to replicate aggression and/or physical confrontation. Thank you for helping us, to help you!
I would like the trainer to know about a specific wellbeing issue
I do not expect any wellbeing issues on the course
Wellbeing declaration
Please give the trainer some information about your concern so that they can, in the context of the training, look after your wellbeing.
Do you accept to undertake the physical skills training and its risks?
(Required)
I accept to undertake the forthcoming course. I have declared above any personal limitations I may have with regard to undertaking a course in inter-personal conflict 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. 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.
I accept and want to complete this course
I do not accept
Do you agree to follow the training safety rules?
(Required)
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.
Yes I agree to participate safely
I do not agree to the safety notice
0/14 Completed!
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