Registration "*" indicates required fields Men's Camp Price: Accommodations* I will stay at camp in a bunk with other campers. (no additional cost) I prefer to stay off-camp at the Holiday Inn Express Martinsville. I prefer to stay off-camp at the Holiday Inn Express Martinsville. Wednesday night Thursday night We have 35 rooms in our hotel room block. They will be filled on a first-come first-serve basis.Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Company/Organization* How many years have you attended camp (counting this year)?:*Please enter a number from 1 to 22.T-shirt sizeMLXLXXLEmergency Contact Name (not yourself)* Emergency Contact Cell (not yourself)*Dietary RestrictionsAllergies*Is this allergy life threatening?*N/AYesNoActivity SelectionSelect activities in order of preference (1st, 2nd and 3rd choice) for each time period.Interested in coming early on Wednesday?*NoCraps 101Cheese & Wine TastingDepending on availability you may attend one session before lunch with the women in their 10:30 a.m. session.Wednesday, Aug. 21 – 1:30-3 p.m.1st Choice*Select OneDecline ActivityArcheryBee KeepingCheese & WineCraps 101Heavy MachineryHistory of Film:Indiana DocumentariesKrav MagaMassageNIL Presentation (IBJ Track)PickleballPokerRifle / PistolShotgunSushi & SakeWeldingWine Tasting2nd Choice*Select OneDecline ActivityArcheryBee KeepingCheese & WineCraps 101Heavy MachineryHistory of Film:Indiana DocumentariesKrav MagaMassageNIL Presentation (IBJ Track)PickleballPokerRifle / PistolShotgunSushi & SakeWeldingWine Tasting3rd Choice*Select OneDecline ActivityArcheryBee KeepingCheese & WineCraps 101Heavy MachineryHistory of Film:Indiana DocumentariesKrav MagaMassageNIL Presentation (IBJ Track)PickleballPokerRifle / PistolShotgunSushi & SakeWeldingWine TastingWednesday, Aug. 21 – 3:30-5 p.m.1st Choice*Select OneDecline ActivityArcheryCheese & WineContent CreatingHeavy MachineryHistory of Film:Indiana DocumentariesKrav MagaNIL Presentation (IBJ Track)PokerRifle / PistolShotgunWelding2nd Choice*Select OneDecline ActivityArcheryCheese & WineContent CreatingHeavy MachineryHistory of Film:Indiana DocumentariesKrav MagaNIL Presentation (IBJ Track)PokerRifle / PistolShotgunWelding3rd Choice*Select OneDecline ActivityArcheryCheese & WineContent CreatingHeavy MachineryHistory of Film:Indiana DocumentariesKrav MagaNIL Presentation (IBJ Track)PokerRifle / PistolShotgunWelding8:15 p.m. Nefouse Memorial Poker TournamentNoYes8:15 p.m. Paracord Bracelet MakingNoYesThursday, Aug. 22 – 8:30-10 a.m.1st Choice*Select OneDecline ActivityArt as an InvestmentCanoeingChef Bex: Food ScienceDutch Oven CookingFinding BalanceFly FishingMassageNature Hike – Bird WatchingPolitics: The Presidential RaceRestorative TouchRifle / PistolShotgunTomahawk2nd Choice*Select OneDecline ActivityArt as an InvestmentCanoeingChef Bex: Food ScienceDutch Oven CookingFinding BalanceFly FishingMassageNature Hike – Bird WatchingPolitics: The Presidential RaceRestorative TouchRifle / PistolShotgunTomahawk3rd Choice*Select OneDecline ActivityArt as an InvestmentCanoeingChef Bex: Food ScienceDutch Oven CookingFinding BalanceFly FishingMassageNature Hike – Bird WatchingPolitics: The Presidential RaceRestorative TouchRifle / PistolShotgunTomahawkThursday, Aug. 22 – 10:30 a.m.-Noon1st Choice*Select OneDecline ActivityArt as an InvestmentBeyond Wealth (IBJ Track)Bourbon TastingCanoeingCar CollectingChef Bex: Food ScienceDutch Oven CookingFinding BalanceFishing on the LakeFly FishingGolfMassageNature Hike – Bird WatchingPolitics in IndianaRestorative TouchRifle / PistolShotgunStand Up PaddleboardTomahawkUS Foreign-Policy Socratic Discussion (IBJ Track)2nd Choice*Select OneDecline ActivityArt as an InvestmentBeyond Wealth (IBJ Track)Bourbon TastingCanoeingCar CollectingChef Bex: Food ScienceDutch Oven CookingFinding BalanceFishing on the LakeFly FishingGolfMassageNature Hike – Bird WatchingPolitics in IndianaRestorative TouchRifle / PistolShotgunStand Up PaddleboardTomahawkUS Foreign-Policy Socratic Discussion (IBJ Track)3rd Choice*Select OneDecline ActivityArt as an InvestmentBeyond Wealth (IBJ Track)Bourbon TastingCanoeingCar CollectingChef Bex: Food ScienceDutch Oven CookingFinding BalanceFishing on the LakeFly FishingGolfMassageNature Hike – Bird WatchingPolitics in IndianaRestorative TouchRifle / PistolShotgunStand Up PaddleboardTomahawkUS Foreign-Policy Socratic Discussion (IBJ Track)Thursday, Aug. 22 – 1:30-3 p.m.1st Choice*Select OneDecline ActivityAlpine TowerCar CollectingChef Ben: Swiss RollsFacialForging SteelInnovation & Entrepreneurship(IBJ Track)iPhoneographyLunar Gold RushMassageNature Hike – Tree IdentificationNegotiations (IBJ Track)Rifle / PistolSculpturingShotgunStand Up PaddleboardTomahawkUS Foreign-Policy Socratic Discussion (IBJ Track)Zipline2nd Choice*Select OneDecline ActivityAlpine TowerCar CollectingChef Ben: Swiss RollsFacialForging SteelInnovation & Entrepreneurship(IBJ Track)iPhoneographyLunar Gold RushMassageNature Hike – Tree IdentificationNegotiations (IBJ Track)Rifle / PistolSculpturingShotgunStand Up PaddleboardTomahawkUS Foreign-Policy Socratic Discussion (IBJ Track)Zipline3rd Choice*Select OneDecline ActivityAlpine TowerCar CollectingChef Ben: Swiss RollsFacialForging SteelInnovation & Entrepreneurship(IBJ Track)iPhoneographyLunar Gold RushMassageNature Hike – Tree IdentificationNegotiations (IBJ Track)Rifle / PistolSculpturingShotgunStand Up PaddleboardTomahawkUS Foreign-Policy Socratic Discussion (IBJ Track)ZiplineThursday, Aug. 22 – 3:30-5 p.m.1st Choice*Select OneDecline ActivityAlpine TowerChef Ben: Swiss RollsForging SteelGrillingHoosiers: Original CutInnovation & Entrepreneurship(IBJ Track)iPhoneographyLunar Gold RushMassageNature Hike – Tree IdentificationNegotiations (IBJ Track)Rifle / PistolShotgunStand Up PaddleboardTomahawkZipline2nd Choice*Select OneDecline ActivityAlpine TowerChef Ben: Swiss RollsForging SteelGrillingHoosiers: Original CutInnovation & Entrepreneurship(IBJ Track)iPhoneographyLunar Gold RushMassageNature Hike – Tree IdentificationNegotiations (IBJ Track)Rifle / PistolShotgunStand Up PaddleboardTomahawkZipline3rd Choice*Select OneDecline ActivityAlpine TowerChef Ben: Swiss RollsForging SteelGrillingHoosiers: Original CutInnovation & Entrepreneurship(IBJ Track)iPhoneographyLunar Gold RushMassageNature Hike – Tree IdentificationNegotiations (IBJ Track)Rifle / PistolShotgunStand Up PaddleboardTomahawkZipline8:30 p.m. Shuttle to Link Observatory*NoYes8:30 p.m. Euchre Tournament*NoYesFriday, Aug. 23 – 8:30-10 a.m.1st Choice*Select OneDecline ActivityLaser TagShotgunTomahawk2nd Choice*Select OneDecline ActivityLaser TagShotgunTomahawk3rd Choice*Select OneDecline ActivityLaser TagShotgunTomahawkFriday, Aug. 23 – 10:30 a.m.-Noon1st Choice*Select OneDecline ActivityCoffee TastingLaser TagShotgunTomahawk2nd Choice*Select OneDecline ActivityCoffee TastingLaser TagShotgunTomahawk3rd Choice*Select OneDecline ActivityCoffee TastingLaser TagShotgunTomahawkPayment InformationPayment TypeCredit CardCheckCredit CardBilling Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Card Holder* Card Number* Card Expiration* Card CVV* CheckPlease include a copy of your registration, that will be emailed to you, with your check. Make check payable to Mickey’s Camp and send to: Kari Strolberg Mickey’s Camp 1336 E. Washington Street Indianapolis, IN 46202-3850HiddenTotalTotal
