QUARTERBACK COMBINE YOUTH REGISTRATION PAGE
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$750.00 / 10 Sessions    QB Has CHOICE to train Sat / Sun or Both
Select Sessions:
SESSION A:    SATURDAYS  10 Sessions   8:00 am - 11:00 am
LOCATION:  TBA
JAN.           10,    17,    24,    31
FEB.            7,    14,    21,    28
MARCH        7   (Double Session  7 on 7)



SESSION B:   SUNDAYS  10 Sessions     2:00 pm -  5:00
LOCATION: TBA
JAN:         11,     18,    25
FEB.:        1,    8,    15,    22
MARCH:    1,    8 (double session)   7 on 7



SESSION A  &  B    Saturdays and Sundays  (See Above: Dates/ Times/ Locations)
                         $300.00 Discount If Quarterback Trains in A & B
Mandatory Medical Waiver
Wide Receiver and Running Back
sessions are available.

If you miss a session in the A
Block,  you can make it up in the B
Sessions (2 max)
Athlete Information:
Athletes name:
Athletes School:
Athletes DOB:
Athletes Grade:
Athletes Position:
Athletes Height:
Athletes Weight:
Athletes Insurance Co:
Athletes Insurance Policy No:
Athletes email address:
Athletes phone number:
Athletes Cell:
Referred by:
PARENT INFORMATION
Parent Name:
Parent Cell:
Parents Email Address:
Address:
City:
State:
Zip code:
PAYMENT OPTIONS
Master Card
Visa
American Express
Check  
Credit Card Number:
Expiration date:
CARD  SECURITY CODE:
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.
To receive monies applied to any upgrade, upgrades must be made by the 4th session of any plan.

Any monies owed or payment plan owing, if the balances are not paid on the date will result in immediate stoppage of training and full
amount will be due immediate with NO REFUNDS. Risk management rules and policy protects the staff and coaches with a guarantee of
payment. All policies apply to any verbal, written agreement to any coach or staff member in which full authorization to cash checks or
charge credit cards will be done immediate. Any payment late delayed, NSF checks or credit card invalid,  the full amount owed will be
collected immediate and may result in the stoppage of training and all sessions owed will be terminated. Verbal agreements are fully
confirmed and valid once the first payment is collected and all parties have read, acknowledge and agree with The Quarterback Combine
policies.

By submitting On Line, this constitutes and acts as my signature (card holder) for this transaction and all or any other transactions (both
verbal or manual), in which this or any transaction and charges cannot be disputed or charge back. I (card holder) release all rights to any
charge backs.
Mandatory Medical Waiver
I have read and agree to the above terms:
© 2014 Quarterback Combine. All rights reserved.
All youth quarterbacks need Private QB
Training after he attends the QB
Combine.

it is imperative that the QB keeps his
"reps" up in private training which will
only make him better and Game Ready.

See:
THE TALK
See: PRIVATE TRAINING