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Welcome to the Hagg Lake Event Registration
Welcome to the Hagg Lake Event Registration
Hi there, please fill out and submit this form.
2019 I'm Hooked Inc. - Youth Fishing Event Registration Form
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  • 3
    How can you be reached during the day of the event.
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    • Small
    • Medium
    • Large
    • X-Large
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  • 9
    This information is requested by our foundation partners to continue their support of I'm Hooked, Inc..
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  • 10
    Select more than one if needed.
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    Please provide us with your zip code so we can learn more about the youth we serve.
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  • 12
    Please select from the drop-down list below
    • Washington
    • Oregon
    • California
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  • 13
    Please select your county from the  drop-down list below.
    • Alameda
    • Alpine
    • Amador
    • Butte
    • Calaveras
    • Colusa
    • Contra Costa
    • Del Norte
    • El Dorado
    • Fresno
    • Glenn
    • Humboldt
    • Imperial
    • Inyo
    • Kern
    • Kings
    • Lake
    • Lassen
    • Los Angeles
    • Madera
    • Marin
    • Mariposa
    • Mendocino
    • Merced
    • Modoc
    • Mono
    • Monterey
    • Napa
    • Nevada
    • Orange
    • Placer
    • Plumas
    • Riverside
    • Sacramento
    • San Benito
    • San Bernardino
    • San Diego
    • San Francisco
    • San Joaquin
    • San Luis Obispo
    • San Mateo
    • Santa Barbara
    • Santa Clara
    • Santa Cruz
    • Shasta
    • Sierra
    • Siskiyou
    • Solano
    • Sonoma
    • Stanislaus
    • Sutter
    • Tehama
    • Trinity
    • Tulare
    • Tuolumne
    • Ventura
    • Yolo
    • Yuba
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    Please select your county from the  drop-down list below.
    • Baker
    • Benton
    • Clackamas
    • Clatsop
    • Columbia
    • Coos
    • Crook
    • Curry
    • Deschutes
    • Douglas
    • Gilliam
    • Grant
    • Harney
    • Hood River
    • Jackson
    • Jefferson
    • Josephine
    • Klamath
    • Lake
    • Lane
    • Lincoln
    • Linn
    • Malheur
    • Marion
    • Morrow
    • Multnomah
    • Polk
    • Sherman
    • Tillamook
    • Umatilla
    • Union
    • Wallowa
    • Wasco
    • Washington
    • Wheeler
    • Yamhill
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    Please select your county from the drop-down list below.
    • Adams
    • Asotin
    • Benton
    • Chelan
    • Clallam
    • Clark
    • Columbia
    • Cowlitz
    • Douglas
    • Ferry
    • Franklin
    • Garfield
    • Grant
    • Grays Harbor
    • Island
    • Jefferson
    • King
    • Kitsap
    • Kittitas
    • Klickitat
    • Lewis
    • Lincoln
    • Mason
    • Okanogan
    • Pacific
    • Pend Oreille
    • Pierce
    • San Juan
    • Skagit
    • Skamania
    • Snohomish
    • Spokane
    • Stevens
    • Thurston
    • Wahkiakum
    • Walla Walla
    • Whatcom
    • Whitman
    • Yakima
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  • 16
    • Adair Village
    • Adams
    • Adrian
    • Albany
    • Aloha
    • Altamont
    • Amity
    • Antelope
    • Arlington
    • Ashland
    • Astoria
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    • Aurora
    • Baker City
    • Bandon
    • Banks
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    • Barview
    • Bay City
    • Beaver
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    • Bend
    • Biggs Junction
    • Boardman
    • Bonanza
    • Brookings
    • Brooks
    • Brownsville
    • Bunker Hill
    • Burns
    • Butte Falls
    • Butteville
    • Canby
    • Cannon Beach
    • Canyon City
    • Canyonville
    • Cape Meares
    • Carlton
    • Cascade Locks
    • Cave Junction
    • Cayuse
    • Cedar Hills
    • Cedar Mill
    • Central Point
    • Chenoweth
    • Chiloquin
    • City of The Dalles
    • Clackamas
    • Clatskanie
    • Cloverdale
    • Coburg
    • Columbia City
    • Condon
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    • Coquille
    • Cornelius
    • Corvallis
    • Cottage Grove
    • Cove
    • Creswell
    • Culver
    • Dallas
    • Dayton
    • Dayville
    • Depoe Bay
    • Deschutes River Woods
    • Detroit
    • Donald
    • Drain
    • Dufur
    • Dundee
    • Dunes City
    • Durham
    • Eagle Point
    • Echo
    • Elgin
    • Elkton
    • Enterprise
    • Eola
    • Estacada
    • Eugene
    • Fairview
    • Falls City
    • Florence
    • Forest Grove
    • Fossil
    • Four Corners
    • Garden Home-Whitford
    • Garibaldi
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    • Gates
    • Gearhart
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    • Gladstone
    • Glendale
    • Glide
    • Gold Beach
    • Gold Hill
    • Gopher Flats
    • Grand Ronde
    • Granite
    • Grants Pass
    • Grass Valley
    • Green
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    • Gresham
    • Haines
    • Halfway
    • Halsey
    • Happy Valley
    • Harbeck-Fruitdale
    • Harbor
    • Harrisburg
    • Hayesville
    • Hebo
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    • Hermiston
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    • Hood River
    • Hubbard
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    • Island City
    • Jacksonville
    • Jefferson
    • Jennings Lodge
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    • Jordan Valley
    • Joseph
    • Junction City
    • Keizer
    • King City
    • Kirkpatrick
    • Klamath Falls
    • Labish Village
    • Lafayette
    • La Grande
    • Lake Oswego
    • Lakeside
    • Lakeview
    • La Pine
    • Lebanon
    • Lexington
    • Lincoln Beach
    • Lincoln City
    • Lonerock
    • Long Creek
    • Lostine
    • Lowell
    • Lyons
    • McMinnville
    • Madras
    • Malin
    • Manzanita
    • Marion
    • Maupin
    • Maywood Park
    • Medford
    • Mehama
    • Merrill
    • Metolius
    • Metzger
    • Mill City
    • Millersburg
    • Milton-Freewater
    • Milwaukie
    • Mission
    • Mitchell
    • Molalla
    • Monmouth
    • Monroe
    • Monument
    • Moro
    • Mosier
    • Mount Angel
    • Mount Hood Village
    • Mount Vernon
    • Myrtle Creek
    • Myrtle Point
    • Nehalem
    • Neskowin
    • Netarts
    • Newberg
    • Newport
    • North Bend
    • North Plains
    • North Powder
    • Nyssa
    • Oak Grove
    • Oak Hills
    • Oakland
    • Oakridge
    • Oatfield
    • Oceanside
    • Odell
    • Ontario
    • Oregon City
    • Pacific City
    • Paisley
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    • Philomath
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    • Pilot Rock
    • Pine Grove
    • Pine Hollow
    • Portland
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    • Powers
    • Prairie City
    • Prescott
    • Prineville
    • Rainier
    • Raleigh Hills
    • Redmond
    • Redwood
    • Reedsport
    • Richland
    • Rickreall
    • Riddle
    • Rivergrove
    • Riverside
    • Rockaway Beach
    • Rockcreek
    • Rogue River
    • Roseburg
    • Roseburg North
    • Rose Lodge
    • Rowena
    • Rufus
    • St. Helens
    • St. Paul
    • Salem
    • Sandy
    • Scappoose
    • Scio
    • Scotts Mills
    • Seaside
    • Seneca
    • Shady Cove
    • Shaniko
    • Sheridan
    • Sherwood
    • Siletz
    • Silverton
    • Sisters
    • Sodaville
    • South Lebanon
    • Spray
    • Springfield
    • Stanfield
    • Stayton
    • Sublimity
    • Summerville
    • Sumpter
    • Sunnyside
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    • Sweet Home
    • Talent
    • Tangent
    • Terrebonne
    • Three Rivers
    • Tigard
    • Tillamook
    • Toledo
    • Tri-City
    • Troutdale
    • Tualatin
    • Turner
    • Tutuilla
    • Tygh Valley
    • Ukiah
    • Umatilla
    • Union
    • Unity
    • Vale
    • Veneta
    • Vernonia
    • Waldport
    • Wallowa
    • Wamic
    • Warm Springs
    • Warrenton
    • Wasco
    • Waterloo
    • Westfir
    • West Haven-Sylvan
    • West Linn
    • Weston
    • West Slope
    • Wheeler
    • White City
    • Willamina
    • Wilsonville
    • Winchester Bay
    • Winston
    • Woodburn
    • Wood Village
    • Yachats
    • Yamhill
    • Yoncalla
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  • 17
    Please select more than one if needed.
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  • 18
    We would like to collect this information for liability reasons.
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
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    • Azerbaijan
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    • Bosnia and Herzegovina
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    • Burkina Faso
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    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
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    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
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    • Cuba
    • Curacao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
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    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
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    • Falkland Islands
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    • Fiji
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    • French Polynesia
    • Gabon
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    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
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    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
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    • Iceland
    • India
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    • Israel
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    • Jamaica
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    • Jersey
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    • Kosovo
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    • Liechtenstein
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    • Madagascar
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    • Marshall Islands
    • Martinique
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    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
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    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
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    • Philippines
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    • Poland
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    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
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    • Saint Vincent and the Grenadines
    • Samoa
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    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
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    • South Sudan
    • Spain
    • Sri Lanka
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    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 19
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  • 20
    These optional fees cover adult lunches (kids are always free) , and event t-shirts for adults.
    prevnext( X )
        My Bag
        1
        My Bag
        Great Product Name
        $20
        Quantity:1
        Size:Small
        RemoveEdit
        Great Product Name
        $20
        Quantity:1
        Size:Small
        RemoveEdit
        Great Product Name
        $20
        Quantity:1
        Size:Small
        RemoveEdit
        Great Product Name
        $20
        Quantity:1
        Size:Small
        RemoveEdit
        ORDER SUMMARY
        Total costUSD
        • I'm Hooked Youth Fishing Day Adult Lunch Tickets
          I'm Hooked Youth Fishing Day Adult Lunch Tickets
          $5.00+RemoveEdit
          Back

          0
          • 0
          • 1
          • 2
          • 3
          • 4
          • 5
          • 6
          • 7
          • 8
          • 9
          • 10
          Subtotal: $0.00
        • I'm Hooked Youth Fishing Day ADULT T-Shirt
          I'm Hooked Youth Fishing Day ADULT T-Shirt
          +RemoveEdit
          Back

          T-ShirtQuantityPrice
          XS
          • 0
          • 1
          • 2
          • 3
          • 4
          $5.00
          S
          • 0
          • 1
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          • 4
          $5.00
          M
          • 0
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          • 4
          $5.00
          L
          • 0
          • 1
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          $5.00
          XL
          • 0
          • 1
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          $5.00
          XXL
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          $6.00
          XXXL
          • 0
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          • 4
          $6.00
          XXXXL
          • 0
          • 1
          • 2
          • 3
          • 4
          $6.00
          Subtotal: $0.00
          Total cost $0.00
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        • 21

          How to use PayPal to make your payment.

          When you hit the submit button you will be taken to PayPal's payment gateway. If you do not have a PayPal account - don't worry. Look at the bottom of the form (in the example below we have circled it in yellow) and you will see a button that will allow you to pay by debit or credit card.

          Why We Use PayPal

          We use PayPal because it is the most secure and least expensive form of payment available to I'm Hooked. This way more dollars go to the kids!

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