David Rubio Skills Clinics (Register)

This registration session will allow you to complete contact information, sign up for participation, and submit payment.

Please read through each page carefully to ensure that all information is provided accurately.

To complete registration through our secure site, please have your Visa, MasterCard, Discover, or ACH Bank Account information available.

Participant's First name

Participant's Last name

Participant's Birthday

Participant's Address

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Cell Phone

Parent/Guardian Email

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 Cell Phone

I/We have read, understand and agree to comply with the Waiver as outlined hereRelease, Waiver and Assumption of Risk

I/We have read, understand and agree to comply with the Waiver as outlined here

HEADS UP Concussion Waiver

Parent Guardian Signature

Thanks for registering. See you there!