power our women

P.O.W SELF DEFENCE WAIVER

Taught by MMAfighter and Brazilian Jiujitsu Blue Belt SHANA PASAPA.

 Self Defence Sessions: 2018-2019


Today's Date *
Today's Date
Name *
Name
Phone Number (or care giver's contact number if under 18) *
Phone Number (or care giver's contact number if under 18)
Have you taken any previous Self Defence Training? *
Reality-Based Training mimics scenarios of possible real-life events and may include the use of coarse language, aggressive gesturing etc.
-----DISCLAIMER-----
I UNDERSTAND THAT I WILL BE PARTICIPATING IN A SELF DEFENCE PROGRAM THAT HAS A REALITY LIFE TRAINING EMPHASIS. THIS MAY INCLUDE SCENARIOS, DRILLS AND TRAINING THAT DIRECTLY STIMULATE REALITY, INCLUDING (BUT NOT LIMITED TO) VERBAL, PHYSICAL, PSYCHOLOGICAL, GESTURE, AGGRESSIVE LANGUAGE, ETC. THIS IS DONE FOR PROFESSIONAL TRAINING PURPOSES TO SIMULATE REAL LIFE EVENTS. STUDENTS WILL CONDUCT THEMSELVES IN A PROFESSIONAL AND SAFE MANNER AROUND INSTRUCTORS AND OTHER STUDENTS TO MAXIMIZE A SAFE TRAINING ENVIRONMENT. ALL RULES AND REGULATIONS SET FORTH IN THIS PROGRAM MUSTS BE FOLLOWED. STUDENTS MUST REALIZE THAT THE TECHNIQUES AND TRAINING THEY LEARN IN THE PROGRAM MUST ONLY BE USED IN AN ABSOLUTE TIME OF NEED AND CAN CAUSE SERIOUS BODILY HARM AND OR DEATH TO ANOTHER PERSON. POWER OUR WOMEN IS NOT RESPONSIBLE FOR ANY INJURIES ACQUIRED DURING SESSIONS.