Subject: Enrolment Kit for the Defensive Tactics Baton and Handcuffs
Dear Instructor Candidate,
Thank you for choosing Safecity as your Course Provider. I have detailed below the course information you require. Costs of all the courses are on page two of the application form.
The next NSW Defensive Tactics Baton and Handcuffs will be held in Sydney and will be conducted over 9 weekends.
When we receive your application and fee, we will send you the Instructor Course Manual.
Cost includes: Course manual, Software, Tuition, Certificate IV in Assessment and Workplace Training, The Defensive Tactics Baton and Handcuffs Instructor modules, and the Course in Employ Baton and Handcuffs Manuals.
You should be proficient with the use of weaponless techniques, batons and handcuffs. (A background in self-defence or martial arts which deal with holds and grips is not necessary but is recommended.)
Please bring the following equipment to the course:
All the above items are available from Safecity at nominal prices for candidate instructors. Safecity Instructors use the Safecity Expandable Baton a quality three piece 21" expandable baton.
I look forward working with you in this exciting project.
Alexander Wilon JP
Training Aids and First Aid Certification
Course participants use a fully illustrated manual with step-by-step photographs and diagrams. The student manual mirrors the instructor manual.
The course also makes use of Safecity's Quiz Wizard software which I designed to help trainees with their studies.
This is the only Australian Defensive Tactics Baton and Handcuffs course to offer Senior First Aid certification. In the event of an injury, the Instructor is able to offer immediate care which may save lives.
You will learn and practise teaching skills specifically designed for defensive tactics instructors. You will plan, rehearse and practise the full program that you will be teaching your future students. If you apply yourself and cooperate with your course providers, I guarantee you will be ready to teach a high quality defensive tactics baton and handcuffs accreditation course.
If, through no fault of your own, you are unable to successfully complete the practical component of the course, I will enrol you in the subsequent course free of charge. This offer obviously does not apply if you do not cooperate, choose not to study the course material.
Most importantly, I promise that you will be learning in a dignified and supportive environment. Your course providers are not only the best qualified instructors for this project--they are also helpful and friendly people, genuinely interested in your success. You will soon discover that there is no room in our classes for outbursts of egos or for negative and disparaging remarks.
As a Safecity Graduate Instructor you will become part of our team. We will support you with marketing ideas and other surprises we do not wish to announce just yet.
About Safecity Training Academy
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Instructor candidate check list
Application form completed and signed.
Medical Statement completed and signed
Assumption of risk form completed and signed
Payment (cheque or money order)
If claiming exemption from Senior First Aid
component include the certificate
LICENCES AND EQUIPMENT CHECK LIST
You will need the following equipment
Duty belt complete with belt keepers
Overalls and/or other appropriate range apparel
Notepad, pen and writing material
Long baton and expandable baton
Duty belt complete with keepers, expandable baton pouch and long baton ring
Safety Equipment: Shin guards
Uniform, overalls and/or other appropriate apparel.
Notepad, pen and writing material
Please remember all practical weaponless techniques, baton and handcuffs training will be conducted in uniform.
SAFECITY TRAINING ACADEMY
APPLICATION FORM PART A Preferred First
Name_____________________________Birth date____________ Sex M F
Please write your full name as it appears on your licence.
Full Name ________________________________________________________________
Security Licence #_________________________________ Expiry date_____________
Postal Address _______________________________________________________________
Contact home phone number ( )_____________________________________________
Contact work phone number ( )_____________________________________________
Contact fax number hm/wk ( )______________________________________________
If you have never attended a Safecity course, have you successfully completed a...
•Senior First Aid Certification? ____________ (please attach copy of certificate)
APPLICATION FORM PART B - PERSONAL INFORMATION
Name ___________________________ Surname _______________________________
1. During this course you will participate in role plays which may involve: a. physical exertion. b. body contact with other participants and the lecturers c. some offensive language and simulated threatening behaviour d. the use of weaponless techniques (holds, strikes) and batons and handcuffs
Do you clearly understand the meaning of points 1(abcd)?_______________
2. Do you suffer from any physical or mental disability that may affect your
participation in this
3. Are you pregnant or attempting to become pregnant?______________________
4. Have you ever been charged with a criminal offence (other than minor traffic offences) in Australia or overseas?_____________
To the Directors of Safecity Training Academy, I fully understand the meaning of points 1,2,3,4 in this application form. I have answered all questions truthfully to the best of my knowledge.
I should like to enrol in Safecity's ...
Senior First Aid Certificate: $100.00. Necessary if not already qualified Senior First Aid)
Defensive Tactics Baton and Handcuffs $1400
Certificate IV in Assessment and Workplace Training #BSZ40198 (Does not qualify you as a $800
Conducted in ______________________________________________________________
On the __________________________________________________
I have enclosed my cheque/money order for the amount of $____________________ being payment in full for my course fees.
OR I wish to pay $ __________ by credit card.(circle) VISA MASTERCARD BANKCARD
Card Number _________________________________ Expiry ____________________
Name on the card _________________________ Signature _________________________
Upon receipt of my course fees, you will confirm my enrolment and send me the course manuals.
MEDICAL STATEMENT PART A Part of your training may involve vigorous physical exercise, and baton and handcuffs instruction. You may be exposed to loud noise. Please read this carefully, complete the form IN CLEAR HANDWRITING STYLE before signing. Please discuss any questions you may have with your Family Doctor. This information will be treated as confidential.
Please answer the following questions on your past or present medical history with a YES or NO, if you are not sure answer YES. Your Doctor will explain the question thoroughly. A YES response to a question does not necessarily disqualify you from the course.
Could you be pregnant or are you attempting to become pregnant? ________
Do you regularly take prescription or other medications? ________
Are you over 45 years of age and one of the following applies: Currently smoke, have a high cholesterol level, have a family history of heart attack? ________
Have you ever had or currently have: Asthma or wheezing with breathing or with exercise?_______
Any form of lung disease? __________
History of chest surgery? __________
Claustrophobia or agoraphobia? __________
Claustrophobia or agoraphobia? __________
Epilepsy seizures, convulsions? __________
History of blackouts or fainting? __________
History of diabetes? __________
History of arm or legs problems? __________
Inability to perform moderate exercise? __________
History of high blood pressure? __________
History of heart problems? __________
History of ear disease or damage to the ear? __________
Have you ever had or do you currently have:
History of bleeding or other blood disorders? ________
History of any type of hernia? ________
History of drug or alcohol abuse? ________
Problems of any type with vision? ________
Are you colour blind? ________
Is there anything else about your health we should know? _______
If you have answered yes to any of the above questions, please provide details.
I hereby certify that the information I have provided about my medical
history is accurate to the best of my knowledge.
ACKNOWLEDGEMENT OF ADVICE AND CONFIRMATION OF ASSUMPTION OF RISK Please read this carefully, complete the form IN CLEAR HANDWRITING STYLE and initial each paragraph before signing. This form must be signed before a witness over the age of 18.
I (Name and Surname)_____________________________________,
(date of birth) _____/____/______
of (residential address)_________________________________________________________
in the State of______________ do solemnly and sincerely declare as follows:
I hold a __________________________________________licence,
The licence is valid until _________________.
There are no restrictions that prevent my use or possession of batons and handcuffs. I acknowledge that I am aware of the inherent risks of undertaking the with Safecity.
In particular, I acknowledge that I have been advised of the following:
Signature of applicant Signature of witness
Name of Witness