CADET
POTENTIAL PROGRAMME
Programme
Manager: Neil
Brown
a 41 Sally Hill,
Portishead, BS20 7BH t 07590
046892
e neil.brown@britishfencing.com w www.fencingcoach.net
Strength
& Conditioning Coach: Phil
Marshall
m 07525 042748 e philmarshallsportsconditioning@hotmail.com
PRIVATE
NAME:......................................................................................................
Age:................................. DOB:..............................................
HEALTH
& MEDICAL
Please tick if any of the following
apply (within the last 5 years):
Recent Surgery [ ] High/Low
Blood Pressure [ ]
Heart Disorders [ ] Pregnant [
]
Epileptic [
] Chest Problems or pain [ ]
Diabetic [ ] Back
Problems [ ]
Asthmatic [
] Bone/Joint Problems [ ]
Injuries [ ] Other illness [
]
Please
give details of any injuries we should know about:
.
Are
you currently taking any medication?
Yes/No If yes, please give details:.............................................................................................
.......................................................................................................................................................
Is
there any reason not stated here why you should not take part in any of the
fitness tests?
Yes/no If yes, please
give details..............................................................................................
.
I
acknowledge that there are risks and dangers inherent in physical exercise and
undertake the activity at my own risk. I agree to have skin-fold calliper tests
done if appropriate. I agree that some of my tests may be videoed or
photographed.
Signature :............................................... Parent or guardians signature:...................................
QUESTIONNAIRE
How
many hours of training do you do in a typical week in term time?
Physical:
. Lessons:
. Footwork:
. Sparring:
.
How
many hours of training do you do in a typical week during school holidays?
Physical:
. Lessons:
. Footwork:
. Sparring:
.
How
many fencing club sessions do you do in a typical week?
..
How
many competitions did you fence in last season (May 06 April 07)
Domestic:
. International:
.
What
were your best results last season (May 07 April 08)
Domestic:
. Date:
International:
Date:
Do
you consider your diet to be healthy or unhealthy, give details?
.......................................................................................................................................................
Are
you a smoker? Yes/No
Are
you familiar with gym equipment?
CV
machines Y/N Free weights Y/N Weight machines Y/N
Do
you have regular access to a gym? Y/N
For
season 08-09 (starts May 08) how many hours training are you planning to do per
week?
Physical:
. Lessons:
. Footwork:
. Sparring:
.
Will
you be able to maintain this during the school holidays? Y/N
Which
training camp(s) are you attending between now & September?
Please
include the dates.
.
Anything
else we should know?
.
.
.
.
Contact
Details (no need to fill in part 1 if you have already completed the CPP
invitation)
Part
1
Name:..............................................................................................................................................................................
Mobile
phone number
:
...................................................................................................................
British
Fencing license number:
.
Expiry date:
........................................................
Home
Address:......................................................
...........................................................................................
........
Home
phone number:...............................................................................................
Email
address(es):............................
Main
fencing club:
Name of main
coach:
..
............................................................................
Other
fencing club:
..
Name of other
coach:
..
............................................................................
Coaches
address, email & phone number(s):
...
...
...
Name &
address of school, college, or employer:
...
................
.......................................
...
Name of head
teacher (if at school):
..............
Name of
School Sport Partnership:
.
..............
Emergency
contact details if Parent/Guardian cannot be contacted at above address:
...
...
...
...
Name
and address of fencers own Doctor .............................................................
Are
you allergic to anything? e.g. aspirin, antibiotics,
any particular food or drugs? If so give details.
..........................................................................................................
.
Do
you suffer from any of the following: asthma, chest complaints, hay fever
migraine, fits or faints, travel sickness, diabetes, coeliac
disease or any other illness or disability? If so give details.
.................................................................................................................................
.
Are
you having any medical treatment at present? If so, please give written details
of treatment and medicines, etc:....................................................................................
..........................
Date
of anti-tetanus injection (if known):.............................................................
..
Do
you have any physical disability? Please give details of any special attention
required
.................................................................................................................................
.
Please
indicate any special food/dietary requirements
.................................................................................................................................
.
Are
there any activities in which you should not participate?
.................................................................................................................................
.
Is
there any other information (including cultural or religious) about which the
staff should be aware?
.................................................................................................................................
.
Part 2 (must be filled in for each CPP
weekend or training session).
I have read
& understood this document & agree to take part in the events under
terms described & abide by the British Fencing code of conduct.
Fencers signature:
.. Date:
..
Parent or
guardian
I wish my son/daughter
to be allowed to take part in the Cadet Potential Programme and, having read
the information provided, I agree to his/her taking part in any or all of the
activities described.
I understand
that British Fencing only assumes a
duty of care for my son/daughter from the time that he reports to the Trip
Leader at the Meeting Point and that British Fencings duty of care, ends when
the Trip Leader dismisses the fencer into the care of either the parents or if
the Parent/Guardian has made a written request for the fencer to be
collected by a named person, till the fencer is met by the named person at the
agreed meeting point.
I understand
that, while the organizers will take all reasonable care of the children, they
cannot necessarily be held responsible for any loss, damage or injury suffered
by my son/daughter arising during or out of the training sessions. I accept all
normal risks of participation in a fencing event and of travelling for that
purpose.
I..................................................(Your
name in BLOCK CAPITALS) give consent to the medical examination of my
son/daughter/child of whom I am guardian when necessary, and for drug testing
where required, whilst he is taking part In the training sessions, and I
request that any operation or any other measures considered necessary, by a
medical authority for his diagnosis and treatment shall be performed and I
hereby give my permission for such operations or other measures to be carried
out in an emergency only and for the administration of a general or local
anaesthetic if necessary.
Signature.................................................................................. Date.......................................................................
British Fencing
Physiological Assessment
Basic
Fitness Tests
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Name: |
Gender: |
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Hand: |
Test Date: |
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Weapon: |
Notes: |
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Height (cm): |
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Weight (kg): |
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Test |
Trials |
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1 |
2 |
3 |
4 |
5 |
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1 |
Standing broad jump (cm) |
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2 |
Single leg Standing broad jump - front leg [cm] |
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3 |
Single leg Standing broad jump - back leg [cm] |
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4 |
Fencing footwork (2m, 4m, 2m) [seconds] |
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5 |
Badminton court speed agility drill [seconds] |
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6 |
Multi jumps [cm] |
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7 |
Stork stabilisation with rotation [seconds, max. 30] |
R |
L |
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8 |
Blind stork [mistakes in 30 seconds] |
R |
L |
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9 |
Press-ups [number in 1 minute] |
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10 |
Abdominal Curl test [stage] |
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11 |
Core stability (prone or hanging leg raise) |
Y / N |
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12 |
VO2 max (beep test) |
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