Event Registration, Survey, & Order Form - Henry Hagg Lake Thank you for registering. Please let us know if you have any questions!Name(Required) First Last Address(Required) City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) Which day(s) will you attend?(Required) Saturday, June 4th, 2022 Sunday, June 5th, 2022 Both, June 4-5, 2022Age(Required)Sex Female Male Prefer not to answerEthnicityAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMixed & Other EthnicityNative Hawaiian or Pacific IslanderWhitePrefer not to answerPrimary member T-shirt/Lunch?(Required) T-shirt Lunch Both None($5 each for Adults. Free for Kids!)Shirt SizeYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLPayment MethodPayPal CheckoutMasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Please answer the following questions.How did you learn about our event? (Select all that apply) Flyers at frequently visited places Education/schools Websites and/or social media Friends and/or family members Community Outreach OrganizationsWhat attracted you to our event? (Select all that apply) Price Primary Activity Special Interest Engaging with Family Members LocationHow often do you participate in outdoor fishing activities?DailyWeeklyMonthlyQuarterly (every 3 months)YearlyNeverWhat is the greatest obstacle keeping you from participating in more outdoor fishing activities?Time offFinancial resourcesOther commitmentsFrustrations in planning for a tripNo one to go withDo you feel safe participating in outdoor recreation activities? Yes Somewhat NoPlease explain how we can make you feel safer during our events.Add a 2nd family member? Yes NoName of 2nd member First Age of 2nd member(Required)Sex Female Male Prefer not to answerEthnicity of 2nd memberAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMixed & Other EthnicityNative Hawaiian or Pacific IslanderWhitePrefer not to answer2nd member T-shirt/Lunch?(Required) T-shirt Lunch Both None($5 each for Adults. Free for Kids!)2nd member Free T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)Shirt SizeYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLAdd a 3rd family member? Yes NoName of 3rd member First Age of 3rd member(Required)Sex Female Male Prefer not to answerEthnicity of 3rd memberAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMixed & Other EthnicityNative Hawaiian or Pacific IslanderWhitePrefer not to answer3rd member T-shirt/Lunch?(Required) T-shirt Lunch Both None($5 each for Adults. Free for Kids!)3rd member Free T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)Shirt SizeYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLAdd a 4th family member? Yes NoName of 4th member First Age of 4th member(Required)Sex Female Male Prefer not to answerEthnicity of 4th memberAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMixed & Other EthnicityNative Hawaiian or Pacific IslanderWhitePrefer not to answer4th member T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)4th member Free T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)Shirt SizeYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLAdd a 5th family member? Yes NoName of 5th member First Age of 5th member(Required)Sex Female Male Prefer not to answerEthnicity of 5th memberAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMixed & Other EthnicityNative Hawaiian or Pacific IslanderWhitePrefer not to answer5th member T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)5th member Free T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)Shirt SizeYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLAdd a 6th family member? Yes NoName of 6th member First Age of 6th member(Required)Sex Female Male Prefer not to answerEthnicity of 6th memberAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMixed & Other EthnicityNative Hawaiian or Pacific IslanderWhitePrefer not to answer6th member T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)6th member Free T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)Shirt SizeYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLAdd a 7th family member? Yes NoName of 7th member First Age of 7th member(Required)Sex Female Male Prefer not to answerEthnicity of 7th memberAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMixed & Other EthnicityNative Hawaiian or Pacific IslanderWhitePrefer not to answer7th member T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)7th member Free T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)Shirt SizeYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLAdd a 8th family member? Yes NoName of 8th member First Age of 8th member(Required)Sex Female Male Prefer not to answerEthnicity of 8th memberAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMixed & Other EthnicityNative Hawaiian or Pacific IslanderWhitePrefer not to answer8th member T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)8th member Free T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)Shirt SizeYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLAdd a 9th family member? Yes NoName of 9th member First Age of 9th member(Required)Sex Female Male Prefer not to answerEthnicity of 9th memberAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMixed & Other EthnicityNative Hawaiian or Pacific IslanderWhitePrefer not to answer9th member T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)9th member Free T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)Shirt SizeYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLAdd a 10th family member? Yes NoName of 10th member First Age of 10th member(Required)Sex Female Male Prefer not to answerEthnicity of 10th memberAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMixed & Other EthnicityNative Hawaiian or Pacific IslanderWhitePrefer not to answer10th member T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)10th member Free T-shirt/Lunch? T-shirt Lunch Both None($5 each for Adults. Free for Kids!)Shirt SizeYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAdult XXLAdult XXXLTotal for T-shirts and/or lunches Please ensure that you have a Paypal account and are signed into it before submitting a purchase. Thank you!Some people are having an error when attempting to submit a payment. This site uses Paypal for payments. Please sign up for a free account before attempting to checkout and submit a payment.