2-3 Basketball 2026 Step 1 of 2 50% 2nd-3rd Basketball In District Quantity Price: QuantityPlease enter a number from 0 to 3.2nd-3rd Basketball Out of District Quantity Price: QuantityPlease enter a number from 0 to 3.Total Register Participants(Required)First NameLast NameGradeShirt SizeAllergies/RestrictionsSex Add RemovePlease enter as many participants as needed by using the "+" option on the right.Volunteer Name (Optional)Volunteer Coaches will choose practice times/daysVolunteer Shirt Size (Optional)Volunteer Coaches will choose practice times/daysIs volunteer CPR/AED/1st Aid certified? Parent/Guardian Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Consent(Required) I agree to the waiver & consentWaiver and Release for the Winnebago Park District We/I, the undersigned participant or parent/guardians, understand that the Winnebago Park District provides no insurance coverage for medical costs and other damages arising out of any participation in the park district programs. Any insurance coverage will be furnished by the undersigned, and we are waiving and releasing all claims for injuries sustained during participation in the program(s). We release the instructors, supervisors, owners, independent contracts and park district members from any claims of injury or damage including any transportation associated with the program(s). A parental signature and mandatory attendance at informational meetings prior to the activity are required for participants under the age of 18. We do hereby give authorization and consent for our child/children listed above to participate in, to have photos published, and be transported as needed for the designated Winnebago park district programs. We give authorization to obtain medical treatment for my child in the event that the parent(s) and emergency contact cannot be reached. I understand and acknowledge that my enrollment and my participation in WPD programs is wholly voluntary and that there are physical risks and hazards connected with participation, including, but not limited to the risk of communicable disease such as COVID-19. I understand, acknowledge and agree that the Winnebago Park District is not responsible for and does not assume the cost of medical testing, care or treatment associated with my participation in WPD programs including but not limited to any medical testing, care and treatment of myself or anyone with whom I may have been in contact during or after my participation of a WPD program. Photo Consent Policy(Required) Yes No Photo Consent: I give permission for Winnebago Park District to take photos and/or videos of me (or my child) that may be used on social media, the business website, or other marketing materials. I understand that no compensation will be provided for the use of these images.Credit Card(Required) Cardholder Name Card Details