Registration Form:
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:
Session Selection
O
Summer 1  May 24 & 25       SOLD OUT         
Summer 6  July 13           UCLA    $200.00
Summer 2  May 31 & June 1  UCLA I.M    $350.00
Summer 7  July 19  &  20  UCLA   $350.00 0
Summer 3  June 7 & 8          BHH           $350.00
Summer 8  July 26  & 27   UCLA    $350.00
Summer 4  June 14  & 15     BHH           $350.00
Summer 9  Aug 2  & 3      UCLA    $350.00
Summer 5  June 29             UCLA         $200.00
PARENT INFORMATION
Parent Name:
Address:
City:
State:
PAYMENT OPTIONS
Master Card
 Visa
 American Express
 Check  
Expiration date:
 CARD SECURITY CODE:
Credit card number
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. Clients will be charged a $75.00 return check fee and
possible cancellation of the athlete to attend the combine. 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 signiture 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% Credit card process fee will be added
I have read and agree to the above terms:
By submtiting on line, I agree to all terms and conditions of The Quarterback Combine.
You may enroll ON-LINE
and bring the total
payment due at your first
session. Or, mail in you
check or money order to:

QB Combine PO BOX 7002
BEVERLY HILLS
CALIFORNIA 90212

(310-709-5701)


Mandatory Medical Waiver
Registration & Fees
SUMMER SESSIONS : Quarterback Combine
Maximum athletes for each session:  75

SUMMER DOUBLE DAY SESSIONS:

Start Time:        8:00am - 11:00am
Lunch Break:    11:00  -  12:00
Resume Training  12:00 - 2:00   
(Saturday & Sunday)
SESSION                                      LOCATION                    COST

Summer 1  May 24 & 25           Beverly Hills High      
                    
Summer 2  May 31 & June 1    UCLA I.M. Field        $350.00
                 
Summer 3  June 7 & 8               Beverly Hills High    $350.00

Summer 4  June 14  & 15         Beverly Hills High     $350.00

Summer 5  June 29                    UCLA I.M. Field        $200.00

Summer 6  July 13                     UCLA I.M. Field        $200.00

Summer 7  July 19  &  20         UCLA I.M. Field         $350.00

Summer 8  July 26  & 27           UCLA I.M. Field        $350.00

Summer 9  Aug 2  & 3 *             UCLA I.M. Field       $350.00

* NOTE: Summer 9: National Combine Session: Nations Top
High School & Youth Quarterback Competition
  • Accuracy
  • Speed                
  • Drops        
  • Shotgun/ Under Center
  • Arm strength challenge
  • Defensive coverages
  • Circuit speed train
  • Poise/ with pass rush
  • Defensive reads
  • 1 on 1
  • 7 on 7
  • Wr & Rb
  • Physical scenarios
sold out