British Powerlifting Coaching Course Application Form & Agreement

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Please complete in full the following questions in preparation for your upcoming coaching course.
This information will be used for the purposes of the British Powerlifting course registration and administration and will be kept only as long as necessary.

*2024 dates are being compiled and checked, to be released soon. They will be released through the British Powerlifting newsletter which all members should receive*
If you don't receive them please keep checking the coaching course website or the news section of the British Powerlifting website

Email *

Please select the course you are applying for *

Student details

Please complete the following details as accurately as possible.

Full name *

Known as

Full address (including post code) *

Division: if you currently are, or have been, a British Powerlifting member what division are you registered in?

South West (SW)

South Midlands (SM)

South East (SE)

West Midlands (WM)

East Midlands (EM)

North Midlands (NM)

Greater London (GL)

Yorkshire North East (YNE)

North West (NW)

Scotland (Scot)

Northern Ireland (NI)

Wales (WAL)

Clear selection

Contact number *

Date of birth (this is for your free British Powerlifting membership) *

YYYY

Emergency contact (name, relationship and contact number) *

Student experience, qualifications and expectations

Please tell us about industry relevant qualifications and experience as well as Powerlifting skills and knowledge so that we can make sure each course is suited to you.

Please list any prior qualifications and/or experience *

Please state how you have been involved in Powerlifting previously? *

Inexperienced

As a competitor less than 3 competitions

As a competitor more than 3 competitions

As a club volunteer

As a competition volunteer

As a competition organiser

As an organising member of my regional Powerlifting division

As a club or individual coach

As a regional team coach

As a national team coach

As an international team coach

Other:

Required

Please state what you are aiming to achieving from completing your qualification in Coaching Powerlifting *

Further my coaching skills as a Powerlifting coach for individuals

Further my own personal development

As part of my Powerlifting coaching career pathway for a club or team

For NGB specific accreditation such as Right Coach Register or British Powerlifitng affiliation

Other:

Required

Agreements and PAR-Q

Please read carefully our health and safety, data protection and specific requirement agreements as well as our Phsycial Acitivity Readiness Questionairre to esnure we can provide the most suitable course experience to you.

I TAKE PART IN THIS BRITISH POWERLIFTING COACHING COURSE ACCEPTING COMPLETELY THAT THE ORGANISERS WILL NOT BE HELD LIABLE OR RESPONSIBLE IN THE EVENT OF ANY INJURY OR ACCIDENT TO MYSELF HOWEVER CAUSED. I TAKE PART AT MY OWN RISK. *

Agree

Declaration: I hereby declare that my state of physical health and vision is such that I can safely and adequately participate in physical activity of training and coaching the 3 Powerlifts. *

Agree

Please list injuries or other health conditions which may compromise or limit your participation in this course and its component exercises are listed here:

Please let us know of any specific physical or learning needs that you may have or would like to make us aware of:

We will hold your information for 12 months from the final date of this coaching course. Following this your data will be destroyed physically and digitally. Please click here that you accept our Data Protection policy. *

Agree

Teaching & Learning Agreement

Thank you for making the decision to train with us. Our aim is to help you to get the best out of the training and enable you to achieve a successful assessment outcome.

It is exciting to have the opportunity to work with other professionals and you, like them, will want to get as much benefit from every session over the coming two days.

To make sure that you and your fellow learners and the tutor get the most from the training, please read and digest the tutor and learner ‘working guidelines’ below and when you recognise and understand each one, please sign and date the Teaching and Learning Agreement as indicated.

As your Tutor, I will:

Ensure that I work within our agreed timetable and start and finish the day on time.

Inform you of the purpose and process of each session

Use training resources that allow you to maximise your learning

Give you some opportunities to make comments and questions in relation to the learning.

Invite you to comment and contribute to the training.

Inform you of any health and safety issues in relation to the venue.

Provide individual and confidential advice and guidance

Adhere to our Equal Opportunities Policy.

As a learner, I will:

Attend all sessions.

Attend sessions on time.

Bring all necessary paperwork, activities and home based work as requested.

Actively participate in the training sessions with my group and tutor.

Take responsibility for my own learning by discussing my progress with the tutor.

Ask for help and guidance if required.

Behave responsibly towards others and the venue in respect of health and safety and operational rules.

Adhere to the Equal Opportunities Policy.

(For REPs only) Adhere to Exercise and Fitness Code of Ethics.

Please confirm you have read and agree with the Teaching and Learning Agreement *

Agree

Physical Activity Readiness Questionairre (PAR-Q)

Please answer as honestly as possible the health related questions below. If you have anything additional to add there will be space for it under. If there are any queries regarding your health and exercise the tutor will be in touch to discuss them or will discuss them on the day.

Has your doctor ever said that you have a heart condition and that you should only do physical exercise recommended by the doctor? *

Yes

Do you ever feel pain in your chest when doing physical activity? *

Yes

Have you ever had chest pain when you are not doing physical activity? *

Yes

Do you ever feel faint or have spells of feeling dizzy? *

Yes

Do you have a joint problem that is made worse by exercise? *

Yes

Have you ever been told that you have high blood pressure? *

Yes

Are you currently taking any medication that the instructor should be made aware? *

Yes

Are you pregnant, or have you had a baby in the past 6 months? *

Yes

Do you know of any other reason why you should not participate in physical activity/exercise? *

Details

If you have answered Yes to one or more questions:

Talk with your doctor by phone or in person before you become much more physically active or before you have a fitness assessment. Tell your doctor about the Par-Q Pre-Exercise Questionnaire and to which question you answered Yes.

You may be able to do any activity you want as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those that are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow professional medical advice.

If you have answered No to all questions:

You can be reasonably sure that you can start becoming physically active and taking part in a suitable exercise programme. Begin slowly and build up gradually. This is the easiest way to exercise.

Delay becoming more active if you feel unwell because of a temporary illness such as a cold or a fever – wait till you are better.

Please note: if your health changes so that you answer YES to any of the above questions, inform your fitness or health professional immediately. Ask whether you should change your physical activity or plan.

Date of PAR-Q Declaration *

YYYY

By typing your full name below you agree that the information you have provided is accurate to the best of your knowledge. *

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