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Jay Scrubb Back to School Basketball Camp Registration Form
Event Timing: August 5th, 2023  | 10-12:30pm Ages 8-11  |  1-3:00pm Ages 12-15 
Event Address: 2508 Portland Ave. Louisville, KY 40212
Contact us at (502) 876-4446 or mgmt@ezsportsgroup.com
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Camper Full Name *
Guardian Name *
Guardian Phone Number *
Age of Camper *
T-Shirt Size  *
Required
$50 Venmo Payment: Payment due by July 15 to secure a spot in this year's camp. If you have any questions or issues with payment, please reach out to (502) 876-4446. 

Please put Camper's name in the description.

Venmo Username: @JasonScrubb

PayPal: SpeakLife LLC

Zelle: (502) 876-4446


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LIABILITY WAIVER: I am aware that participation in the Jay Scrubb Basketball Camp has some inherent risks and injury can occur. On rare occasions these injuries can be serious. In consideration of my child being allowed to participate in the Basketball Camp, I, the parent/guardian, assume the risk of all injury and agree not to sue Jay Scrubb, EZ Sports,  Delta, the camp directors, coaches, assistant coaches, or volunteers for any and all injuries caused by or resulting from participating in the camp. By submitting this form, I am aware of the risks and consent for my child to participate in this camp.  *
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