Welcome to the Quarterback Combine!

Quarterback Combine HS Registration & Fees for California

SESSION INFORMATION
considered the first session.
If a session is missed, it is agreed
that (the missed session) will count
as a session.

You may enroll the athlete in
(2) (A and B) Block Sessions.

Time: 8:00 am - 11:00 am Saturdays

LOCATION: Santa Monica College     SMCC
             1900 W. Pico Blvd
             Santa Monica Ca.   90405

Mandatory Medical Waiver

Athlete Information:

Athletes name:

Athletes School:

Athletes DOB:

Athletes Grade:

Athletes Position:

Athletes Height:

Athletes Weight:

Athletes Insurance Co:

Athletes Insurance Policy No:

Your email address:

Your phone number:

Cell:

Referred by:

Select Level:

Select SESSIONS:

See Session descriptions in left column

See Level descriptions above

PARENT INFORMATION

Parent Name:

Address:

City:

State:

Zip code:

PAYMENT OPTIONS

Master Card

Visa

American Express

Check

Expiration date:

CARD SECURITY CODE:

Credit card number

ON BACK OF CARD

Name: as appears on card:

Address:

City:

State:

Zip code:

AGREEMENT: This agreement shall be binding upon both parties and or any responsible party. QB
Combine accepts credit cards, money orders, checks or cash. It is agreed that the Client or
responsible party for the Client will carry his own insurance. Parents release, hold harmless and
waive any and all responsibility of the QB Combine/TOPGUN Combine, any and all facilities used,
the staff or city in regards to the athlete in any way. This agreement constitutes the entire
understanding between the parties. A waiver of breach of any provisions and acknowledgements of
the rules of this agreement shall not be construed as a continuing waiver of other breaches of the
same or other provisions hereof. This agreement shall be governed by the laws of the State of
California. The total information input on this form from the athlete and the responsible party for
the athlete give authorization for the Client named above to participate in all aspects of the
sessions of the QB Combine/ TOP GUN Combine. It is agreed that the client or the responsible
party of the client acknowledges and agrees to all conditions of the Medical Waiver. Photos and
video taken of the Combine and athletes are the sole ownership of the Quarterback Combine which
is authorized to use for their web site or promotions.

Submitting online agrees to all conditions. (NO REFUNDS).
By submitting on line, constitutes my signature and authorization to the agreement stated, all
provisions and authorization for the Quarterback Combine to charge the credit card information
input for training fees selected. Discounts will be deducted automatically before the credit card
information is processed.
We accept: MASTER CARD, VISA & American Express
3% - 6% Process Fee
Absolutely NO REFUNDS at any time on any amount, services, post dated checks, cancellation of
services and NO CHARGE BACKS. Post Dated checks issued validate a confirmed validated "contract''
of services and must be valid in full on the date specified. No refunds due on any service
cancellations. All checks issued (current and post dated) will be governed by the Bad Check
Restitution Program. (allowed to be paid back (3) times the amount of the check. Policies are strict
and non-negotiable.Enrollment, Registration and Payment for any training services, combines and
events on line submitted or with any coach or staff manually confirms and validates a full (100%)
contract that can not be broken or adjusted at any time. Payee understands, acknowledges and
agrees to all policies. Payee agrees to the time limit period in the Long Term Program (2 year max
or when the date on the confirmation ends), weather all sessions are completed. There will be "no"
carry over for balance of sessions that remain after the final (2) year long term date. Once payment
is received the payee agrees that there are NO REFUNDS for any reason at any time. In the event
that the athlete chooses to stop training or cancel for what ever reasons, it is agreed by the payee
to forfeit in full all monies paid and or all monies due and all post dated checks will be honored and
paid in full on the post date specified.

Mandatory Medical Waiver

Medical waiver must be signed and submitted.

I have read and agree to the above terms:

SESSION B TBA

SESSIONS - TIMES - LOCATIONS

All Level Packages available in "A" or "B" Sessions (OR BOTH)

Sessions: A
SESSIONS   A

Time: 8:00 am - 11:00 am Saturdays

LOCATION:
Santa Monica College     SMCC
1900 W. Pico Blvd
Santa Monica Ca.
90405

Sessions: B
DATES: TBA
Location: TBA

SESSIONS - TIMES - LOCATIONS

California Combine Registration