Baby Friendly Krav Maga Class Registration

Sessions run every Wednesday, 10:00am - 11:30am, Brisbane CBD, join at any time!

*** FIRST SESSION IS FREE!! ***

New participants:  KMTA strongly recommends seeing a women's health physiotherapist to assess the muscles of your pelvic floor and abdomen to check for any weakness or injury postpartum, and to guide progression of higher level exercise. You can search for specially trained physio's at:

www.whta-members.com/physio-locator


NOTE: Details provided below are NOT stored online. To protect your information and privacy, all data is sent directly to us and stored in an off-line server.
If you prefer to provide full details in person, email us through our Contact Us page.


* Krav Maga Location / Event: (MUST SELECT CORRECT PREFERENCE)

* Main Day I Prefer

* KMTA Student Status


PERSONAL DETAILS


* First Name

* Surname

* Date of Birth (16yrs+)

* Address

* Email


* Confirm Email

* Phone Number

* Occupation

RELEVANT MEDICAL INFORMATION
The following information is required to be completed by participants who have recently given birth and are starting or changing to this new program with us. Information will be provided to our Instructor who is also a Physiotherapist to assess. Information supplied is not stored online.


* Did you give birth to the child/ren coming with you?

How long has it been since you most recently gave birth? (Weeks or months)

Any forcep deliveries?

How many children have you given birth to?

What were their weights at birth? (grams and/or Kg)

Any complications during or post delivery?

If yes, please provide more information (or write "Please Call" to discuss over the phone).

Have you been seen by a women's health physiotherapist?

If Yes, are there any exercises you have been advised to avoid? (Provide details)

 


 

LEGAL CONFIRMATIONS


* I agree

* Legal Confirmation

Parent/Guardian Name (if under 18yrs)

Name of Person Who Referred Me (if any)

Any Further Comments

* Person Completing Form

* Session Guarantee

* Terms & Conditions

View Registration Terms & Conditions Here


Submit Registration
Registration successfully submitted. Thank you! (Back to main page)