PRINT PAGES Remember to Keep a Copy! (You can print it in grayscale if you wish, to save on expensive coloured inks!)

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1 PRINT PAGES Remember to Keep a Copy! (You can print it in grayscale if you wish, to save on expensive coloured inks!) READ THIS FIRST: Application Instructions Ability Martial Arts Association (AMAA) supports all genuine Martial Arts Coaches, Kick boxing, Qualified except Professional Boxing, Any Ring Fighting and Wrestling (Sport); see web. We offer recognised and valued support pertaining to Pro Insurance and Qualifications for UK Martial Arts, plus invaluable advice and information services plus the exceptional UKi Qualifications. Step by Step Guide: (1) AMAA Membership Application Form. Without it you will not be able to receive or indeed validate any insurance. Renew every year. Fill in your name in BLOCK LETTERS in the box, then your Club Name, address, etcetera. When you have completed the form to the best of your ability, you then need to make out a cheque for Membership to 'AMAA. The next form to fill in is: (2) Martial Arts Insurance Proposal. Read the You only need to print off the pages with info boxes on as you will otherwise waste ink! Write in your name, address and telephone. You do not have to put in an unless you wish to get PDF documents that you have to print off yourself (see Important Information below). Still The Best! Want to Pay by PayPal? Follow the link from our pages and use your PayPal account. Fill in the one form, make one payment* and that s you sorted for the next year! (*This does not include payments for individual student membership & insurance!) Cheques may be made out in your name, your school s account name or Postal Order, as long as you send the one check and meet the conditions, you will be covered. The next form you might need will be: Student Insurances. us for a Template if you don t have one. These may be added to the same Membership cheque. Please turn to the next page for important Check List! We strongly advise you to read everything very carefully as membership and ensuing Insurance is a legally binding contract.

2 READ CAREFULLY: Qualifications (e.g Black Belt or above): ESSENTIAL; Insurance companies require proof for better protection of the public at large. As a responsible instructor you d agree, it is better protection for the Martial Arts and Fitness world generally; having a genuine qualification not only protects the public, but also the Coach or Instructor. We DO NOT COVER MMA, unless MMA: No such thing as a stand alone. Mixed Martial Arts is exactly what it says, so anyone who is qualified in, say, Karate, Jujitsu and Taekwondo is automatically a MMA practitioner, so can add 'MMA onto the end of his/her Qualifications. See our website for styles covered! Health and Safety: Much H&S is common sense; e.g. make sure there are no wet patches on the floor, all loose items removed from floor, no live wires or plug sockets that little fingers can be put into and no sharp corners on objects that someone can fall against or be thrown onto. Furthermore, make sure everyone is on Public Liability insurance. First Aid: Not essential for applications but any instructor worth his or her salt will be sensible enough to do regular First Aid courses or have a qualified person in Attendance. DBS Checks. There are now many companies or organisations on-line offering this service. Search for DBS Checks or DBS Checks (my town) for best results. You may also find that some local Councils offer this service and may be preferable. Volunteers, non-profit makers, are cheaper to attain than those for self-employed. Fill in the following form and send it in to us with your payment by 1 st Class Post. Use the correct size envelopes & Stamps; e.g. up to A5 with normal 1 st class stamp, or A5 with 1 st Class LARGE stamp. We will charge you and extra 5 for having to a far away Royal Mail sorting depot to pick up underpaid items! AMAA (c/o) 21 Leeds Way Horning, Norfolk, NR12 8LU hotdesk@amaa.org.uk / Myke s Mobile: Web-site:

3 PRICES & OPTIONS November 2016 Memberships. 1. AMAA Instructor Associate (One Person): for one year. This includes PL Insurance up to 10,000,000 for that named Instructor: Hiscox Insurance Company. School registration and membership. *We give the first named or Head Instructor FREE Student or Member-to- Member insurance plus 1 (One) Assistant Instructor cover; cover will be member to member PL at value up to 10,000,000 cover, running from same date as the Application. (Cheques should be made out to 'AMAA' or Ability Martial Arts Association ) (All prices herein valid at 07/05/2017). Student ( member-to-member )Public Liability. Public Liability all just 3.00 per annum, per person. Up to 10,000,000 cover, third party and property, etc. No limit on numbers. Student Grade Book Insurance slips can be downloaded** and printed off from the Downloads page (Log-in using your supplied User-name and Password that you get in the with your new Certificate); an editable version is also downloadable into which you may put your name, address and club details. Please keep copies for yourself as well as the copies you send to us with cheques made out to 'AMAA' for Public Liability. Problems or Questions? We have a good FAQ page on the Web-site, but if your question is not there, call or hotdesk@amaa.org.uk **If you have problems with downloads you can us with requirements

4 MARTIAL ARTS PRO INSURANCE LICENCE & MEMBERSHIP APPLICATION PLEASE FILL IN A.S.A.P. RETURN ALL FORMS TO AMAA PRINT CLEARLY. Part 1: YOUR NAME (PRINT): Office use only Association Name (If part of larger org):. CLUB NAME (PRINT): Mr/Mrs/Miss. Your Address: Date of Birth:. Town/Area:. City:. County:. Post Code:. Tel:. Mobile:. . Your Occupation/Trade: Your Club *Sub-Instructors who are also applying for Prof. Liability Policy (not Class Assistants!): Below: Class Assistants (1 st Degree or above) Who may Assist and/or help when you may have to drop out, etc. Annual Membership: Individual Annual Membership: Single Associate 90 Annual [ ] inclusive of Insurance. Add one Assistant Instructor to our Back up plan for FREE, more at just 2 extra, up to 3 AI s for just 5 extra. These must be named in the spaces above! NOTE: Please make cheque for Membership and Public Liability (Member-to-Member) out to: AMAA // Note: organisations may charge their own individual instructors for their part of membership and each instructor is liable for his/her own Professional insurance payment. Insurance will be invalid without Membership! Agreement and Declaration. I declare that I am the named person on this application for membership licence and that I am over eighteen years of age and legally possess the qualifications which I have stated and attached. I agree to notify the organisation and the insurance company of any changes to my circumstances which may affect my claim or legal circumstances. I understand that it is my responsibility to adhere to the policy requirements, to upkeep current insurance, health and safety, child welfare & safety (if teaching juveniles), first aid, general training and coaching standards. Print Name: Signed: Date: Please Note: It is necessary under the requirements of the governing association for Insurance in UK, that all Insurable Parties are a Member of an approved and recognised organisation: e.g. AMAA

5 AMAA MEMBERSHIP and INSURANCE PROPOSAL Please note that this will be a legally binding contract document between you the applicant and the Association (AMAA) and the Insurance Company (Hiscox) and their agents. Applicant Details (Part 1): Name of your school or Association: Name of your School: Your Full Name & Title: Home Address: Town: City: County: Post Code: Date of Birth: / / Telephone (home/work) Mobile: (please use a constant one!): (Part 2) Has any insurance company declined to (circle one answer) No Yes insure you in the past? If Yes to above question, please say who and why: Imposed special terms & conditions? Yes / No If Yes What? Have you ever been declared Bankrupt or Insolvent? Yes / No. If Yes, please give details above. I declare to the best of my knowledge and belief that the above statements are true and complete and will form part of the contract between me and the Insurer. I declare there are no known incidents or circumstances that might give rise to a claim and there are no Material Facts that should be disclosed to insurers. If you are in any doubt about whether facts are material, you must tell us. Failure to do so could affect the validity of your policy. Other AMAA Terms & Conditions Also Apply. PRINT NAME: Signature: Date (this will be date cover starts!): / / OFFICE USE ONLY: If Mailing send with payment to: AMAA, 21 Leeds Way, Horning, Norfolk, England NR12 8LU

6 Terms and Conditions. Ability Martial Arts Association (hereafter referred to as AMAA is insured under Hiscox Insurance Company Limited as a recognised Martial arts Governing Body and provider for its members of Public Liability Insurance (hereafter referred to as the policy : example wording opposite. The AMAA on application for cover from you the individual coach on receipt of payment will cover you from the date of application or a chosen date thereafter under the agreed insurance policy from Hiscox up to a limit of 10,000,000 (see Hiscox Policy for details.) AMAA is my chosen governing body and as a member I agree to being a careful and cognisant Coach showing a caring attitude and respect for my fellow members, my students and the general public. It is my responsibility to look after my school, club meeting or training areas when we are present, safeguard against injury or abuse and generally maintain as high standards as is possible. In this respect I acknowledge that AMAA is not responsible for my behaviour but that they may expect from me a code of ethics befitting of any high quality Martial arts Instructor with excellent values and moral fortitude. The AMAA cannot and will not be held responsible for reckless behaviour, assault physical or sexual, mental abuse, libel or slander, defective goods knowingly sold or any other problems caused by an insured member of the association known as AMAA. The AMAA reserves the right to discontinue membership of anyone found to be in breach of these terms and conditions should any breach appear to be a flagrant disregard for either AMAA, the public or members of the individual s own school or club. The Insurance Brokers have informed AMAA that the policy will cover items as stated and that cover is valid in EU Countries (which includes Southern Ireland or Eire) and that cover includes the use of training weapons made of plastic, wood or alloy with contact included, however this contact should be supervised at all times by a competent Instructor with First Aid knowledge who will be held responsible for all weapons training in their own school or club. Live weapons are included but only for demonstration and coaches should check all weapons before use to make sure of none falling apart, breaking and causing damage to members or bystanders and appropriate safety measure must always be taken by the individual instructor member of AMAA. The AMAA s terms and conditions also specify that all coaches, seniors students or general students who work with children or vulnerable adults must be DBS checked (formerly CRB ) and that precautions are taken to avoid injury or abuse of children and vulnerable adults in all classes. First Aid is not a forcible requirement but it is encouraged within and throughout the association and its members as it may save lives or prevent worsening of injuries in the event of accidents. Signing the membership application form or becoming and insured member on-line by any electronic means is accepting these terms and conditions and agreeing to abide by all terms and conditions that AMAA imposes before or after signing; terms and conditions may be changed without prior notice, however well endeavour to keep our members posted of change. Members are not obliged to take on any compulsory courses or unwanted training or events. The Insurers for AMAA are Hiscox Insurance Company Limited (UK). PUBLIC AND PRODUCTS LIABILITY Section wording : 6130 WD-PIP-UK- GL(6) Insurer : Hiscox Insurance Company Limited Public and products liability Limit of indemnity: 10,000,000 Limit applies to : Each claim with defence costs paid in addition other than for pollution and for products to which a single aggregate policy limit including defence costs applies. Excess: 250 Excess Applies to : each and every claim for property damage only Geographical Limits: European Union Applicable Courts: European Union Special limits (included within and not in addition to the overall limit/amount insured above) Criminal defence costs 100,000 in aggregate during any one period of insurance Pollution defence costs 100,000 in aggregate during any one period of insurance Abuse and molestation: Limit of indemnity: 5,000,000 Limit applies to : any one claim and in the aggregate including defence costs Excess: 250 Geographical Limits: European Union Applicable Courts: European Union Endorsements Member 2 Member Liability Addition of cover: Abuse & molestation (claims made)