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:
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
Date of Birth (16yrs+)
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)
I understand that if I have experienced any incontinence with coughing, sneezing, or activity, I am required to disclose this to and discuss it with the Instructor/Physio before my first session.
Parent/Guardian Name (if under 18yrs)
Name of Person Who Referred Me (if any)
Any Further Comments
Person Completing Form
Terms & Conditions
View Registration Terms & Conditions Here