CRIME PREVENTION General Safety Tips * Stay Alert — awareness is your best self-defense. Know what is happening around you. Be especially careful if you are alone. Watch where you are going and what is going on around you. Look for potential problems and be prepared to react to them. * Trust your instincts — don’t assume a false sense of security because you are ina group or in a remote area. If you think something is wrong, remove yourself from the situation. Trust your gut — if it doesn’t feel right, it probably isn’t. * When walking, plan the safest and most direct route. Use well-lit, busy streets. Walk with friends or a group. When out at night, don’t go alone. Let someone know where you will be going and when you plan to return. Avoid shortcuts and alleys, deserted streets and wooded areas. * Project Confidence. Walk as if you know where you are going. Stand tall. Walk in a confident manner, and hold your head up. * Have everything you need ready. Hold your keys when going to and from your car, home and office. This will save you time and give you some security. Be wary of self-defense products. Any device you carry can be used against you. If you do carry a device, know how to use it and be prepared to use it if necessary. Don’t carry more money than what you will need. * Ifyou are being followed on foot or fee! threatened, cross the street, change direction and go to a safe, busy area where you can ask for help or call the police. ° Ifa car is following you, turn around and walk the opposite direction. Get the license plate number and description of the car and occupants. ° REPORT INCIDENTS OF VIOLENCE OR HARASSMENT WHEN THEY HAPPEN. IF YOU DON’T REPORT IT WE CAN’T HELP TO STOP IT. Often times a victim will deal with several incidents of harassment without notifying the police, and only call the police when a more serious threat or act of violence occurs. Reference "The Complete Campus Crime Prevention Manual” by The AEGIS Protection Group. Next Level Performance & Fitness, LLC www.NextLevelStrengthCoach.com 410-645-0231Next Level Performance & Fitness, LLC PREPARTICIPATION FACT SHEET. NAME Who Referred You?, ADDRESS, cITy, STATE, zip DOB WEIGHT. GENDER PHONE E-MAIL: [Are you over the age of 65 and not accustomed to vigorous exercise? Do you frequently have pain in your heart or chest? Do you often feel faint or have spells of dizziness? Has a Dr. ever told you that your blood pressure was too high? | Has a Dr. ever told you that you have a bone or joint problem? |Has a Dr. ever said that you have heart trouble? |Is there ANY good physical reason not mentioned here that would prevent you from following this exercise program? ‘Ifyou answered “YES” to any question above, please briefly explain: | “foul 2 mee Sed"VES email ese sequela ode pre PRIMARY EMERGENCY CONTACT PHONE # SECONDARY EMERGENCY CONTACT. PHONE # PHYSICIAN PHONE# SIGNATURE DATE NO NO NO NO NO NO NONext Level Performance & Fitness Informed Consent for Exercise Participation | desire to engage voluntarily in the (the program) in order to improve my physical fitness. I understand the activities are designed to place a gradually increasing workload on the cardio-respiratory system and to thereby attempt to improve its function. The reaction of the cardio-respiratory system to such activities can not be predicted with complete accuracy. There a tisk of certain changes that might occur during or following the exercise. These changes might clude abnormalities of blood pressure and heart rate. understand that the purpose of the program is to improve, develop and maintain cardio-respiratory fitness, muscular strength and endurance. The program is designed to place a gradually increasing workload on the body in order to improve overall fitness, T understand that I am responsible for monitoring my own condition throughout the exercise program and should any unusual symptoms occur, I will cease my participation and inform the instructor of the symptoms, In signing this consent form, I affirm that I have read this form in its entirety and that I understand the nature of the exercise program. I also affirm that my questions regarding the program have been answered to my satisfaction. In the event that a medical clearance must be obtained prior to my participation in the program, I agree to consult my physician and obtain written permission from my physician to participate in this exercise program, ‘Also, in consideration for being allowed to participate in the program, I agree to assume the risk of such exercise, and further agree to hold harmless Rahsaan Kimbrow and his staff members conducting the exercise program from any and all claims, suits, losses or related causes of action for damages, including but not limited to, such claims that may result from my injury or death, accidental or otherwise, during or arising in anyway from this exercise program. Member Signature Date Print Name Signature, parent/guardian under the age of 18)WOMEN'S SELF DEFENSE SEMINAR Thank you for taking a few minutes to complete this survey about the WOMEN'S SELF DEFENSE SEMINAR. Your response will help us to plan future events. We appreciate your feedback. Overall, how satisfied are you with the WOMEN'S SELF DEFENSE SEMINAR? Very Dissatisfied 1 2 3 4 5 Very Satisfied How satisfied were you with the program's registration process? Very Dissatisfied 1 2 3 4 5 Very Satisfied How satisfied were you with the program's location? Very Dissatisfied 1 2 3 4 5 — Very Satisfied How satisfied were you with the instructor's knowledge? Very Dissatisfied 1 2 3 4 5 — Very Satisfied Would you attend the program in the future? Very Dissatisfied 1 2 3 4 5 Very Satisfied ‘What did you like most about the program? What can we do to improve the program in the future? Additional comments and suggestions:WOMEN'S SELF DEFENSE PROGRAM Acceptance Form I hope you enjoyed this evenings Self Defense Seminar. Unfortunately, one seminar does not guarantee success in a real live self defense situation. True self defense comes with purposeful practice and constant pressure testing to make sure you can express your training under the stress of real world conflict. So here's the deal... Reserve your spot today and participate in our four week program. If for for some reason you are not 100% saiisfied that the information I'm giving you, in just the first 2 weeks, can help you protect yourself and your family, I'l give you a refund... no questions asked... no hard feelings. You will be given the tools, skill, and confidence to spot, avoid, and appropriately respond to real world threats. Choose Your Path By Checking Below \AZ ves, | would definitely lke to participate in WOMEN'S SELF DEFENSE PROGRAM. | also understand that if | am not absolutely thrilled and convinced this program will help me do everything you say it wil..if| don't begin seeing results almost immediately after using this program... can simply cancel at anytime, NO QUESTIONS ASKED and the tuition refunded. Option 1. WOMEN'S SELF DEFENSE ONLY Total Value of $97. Build upon what you leamed tonight as well as powerful new self defense techniques including defense against and with weapons and how to handle situations from the ground. Women's Self Defense will be held on Wednesday August 12", 19", 26", and September 2” at 6:30pm. JOIN TODAY PAY $79 Option 2, WOMEN'S SELF DEFENSE + KICKBOXING Total Value of $187. In addition to the Women's Self Defense classes, discover our most fun and exciting fitness class guaranteed to get you in the best shape of your life. 100% guaranteed. Kickboxing classes are held on Mondays at 6:30pm and Wednesdays at 7:30pm. JOIN TODAY PAY $127 NAME: ADDRESS:. CITY: STATE: ZIP: PHONE:. E-MAIL:. The best way to leam is live and in-person, from a professional who can teach you the nuts and bolts... show you how its done... give you reablife examples... and then answer any questions you have so you get complete clarity and immediate usability. NO FLUFF... NO FILLER... JUST REAL WORLD SELF DEFENSE