"*" indicates required fields Women's Camp Price: HiddenAccommodations* 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. HiddenI prefer to stay off-camp at the Holiday Inn Express Martinsville.* Monday night Tuesday night We have 20 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* Include my information on the camp roster.YesNoHow many years have you attended camp (counting this year)?:*Please enter a number from 1 to 16.T-shirt sizeSMLXLXXLEmergency Contact Name* Emergency Contact Cell*Dietary RestrictionsAllergies*Is this allergy life threatening?*N/AYesNoActivity SelectionSelect activities in order of preference (1st, 2nd and 3rd choice) for each time period.Monday, Aug. 14 - 1:30-3 p.m.1st Choice*Select OneAlpine TowerDutch Oven CookingFloral ArrangingNapoleons with Chef BenNIL PresentationPokerPsychology of MoneyYoga: Vinyasa Flow2nd Choice*Select OneAlpine TowerDutch Oven CookingFloral ArrangingNapoleons with Chef BenNIL PresentationPokerPsychology of MoneyYoga: Vinyasa Flow3rd Choice*Select OneAlpine TowerDutch Oven CookingFloral ArrangingNapoleons with Chef BenNIL PresentationPokerPsychology of MoneyYoga: Vinyasa FlowMonday, Aug. 14 - 3:30-5 p.m.1st Choice*Select OneAlpine TowerDutch Oven CookingFloral ArrangingNapoleons with Chef BenNIL PresentationPokerPsychology of Money2nd Choice*Select OneAlpine TowerDutch Oven CookingFloral ArrangingNapoleons with Chef BenNIL PresentationPokerPsychology of Money3rd Choice*Select OneAlpine TowerDutch Oven CookingFloral ArrangingNapoleons with Chef BenNIL PresentationPokerPsychology of Money8:15 p.m. Poker TournamentNoYesTuesday, Aug. 15 - 8:30-10 a.m.1st Choice*Select OneArt as an InvestmentBotoxBoxingCanoeingCoffee TastingCrossFitFishing on the LakeFly FishingHistory of Film — The Art of The Meet CuteInnovations & EntrepreneurshipNature Hike — Bird WatchingRestorative TouchRifle / PistolShotgunTomahawk2nd Choice*Select OneArt as an InvestmentBotoxBoxingCanoeingCoffee TastingCrossFitFishing on the LakeFly FishingHistory of Film — The Art of The Meet CuteInnovations & EntrepreneurshipNature Hike — Bird WatchingRestorative TouchRifle / PistolShotgunTomahawk3rd Choice*Select OneArt as an InvestmentBotoxBoxingCanoeingCoffee TastingCrossFitFishing on the LakeFly FishingHistory of Film — The Art of The Meet CuteInnovations & EntrepreneurshipNature Hike — Bird WatchingRestorative TouchRifle / PistolShotgunTomahawkTuesday, Aug. 15 - 10:30-Noon1st Choice*Select OneArt as an InvestmentBotoxBoxingCanoeingCoffee TastingCrossFitFishing on the LakeFly FishingHistory of Film — The Art of The Meet CuteInnovations & EntrepreneurshipMassageNature Hike — Bird WatchingPolitics: Media & PoliticsRestorative TouchRifle / PistolShotgunStand Up PaddleboardTomahawk2nd Choice*Select OneArt as an InvestmentBotoxBoxingCanoeingCoffee TastingCrossFitFishing on the LakeFly FishingHistory of Film — The Art of The Meet CuteInnovations & EntrepreneurshipMassageNature Hike — Bird WatchingPolitics: Media & PoliticsRestorative TouchRifle / PistolShotgunStand Up PaddleboardTomahawk3rd Choice*Select OneArt as an InvestmentBotoxBoxingCanoeingCoffee TastingCrossFitFishing on the LakeFly FishingHistory of Film — The Art of The Meet CuteInnovations & EntrepreneurshipMassageNature Hike — Bird WatchingPolitics: Media & PoliticsRestorative TouchRifle / PistolShotgunStand Up PaddleboardTomahawkTuesday, Aug. 15 - 1:30-3 p.m.1st Choice*Select OneBotoxCharcuterie BoardsEducation Policy Socratic DiscussionHealthy Treats: HummusiPhoneographyJames Webb Space TelescopeMah JonggMassageNature Hike — Tree IdentificationPolitics: 2024 Presidential RaceRifle / PistolShotgunStand Up PaddleboardTerrarium MakingTomahawkZipline2nd Choice*Select OneBotoxCharcuterie BoardsEducation Policy Socratic DiscussionHealthy Treats: HummusiPhoneographyJames Webb Space TelescopeMah JonggMassageNature Hike — Tree IdentificationPolitics: 2024 Presidential RaceRifle / PistolShotgunStand Up PaddleboardTerrarium MakingTomahawkZipline3rd Choice*Select OneBotoxCharcuterie BoardsEducation Policy Socratic DiscussionHealthy Treats: HummusiPhoneographyJames Webb Space TelescopeMah JonggMassageNature Hike — Tree IdentificationPolitics: 2024 Presidential RaceRifle / PistolShotgunStand Up PaddleboardTerrarium MakingTomahawkZiplineTuesday, Aug. 15 - 3:30-5 p.m.1st Choice*Select OneBotoxCharcuterie BoardsEducation Policy Socratic DiscussionHealthy Treats: HummusiPhoneographyJames Webb Space TelescopeLashes / BrowsMah JonggMassageNature Hike — Tree IdentificationRifle / PistolShotgunStand Up PaddleboardTequila TastingTerrarium MakingTomahawkZipline2nd Choice*Select OneBotoxCharcuterie BoardsEducation Policy Socratic DiscussionHealthy Treats: HummusiPhoneographyJames Webb Space TelescopeLashes / BrowsMah JonggMassageNature Hike — Tree IdentificationRifle / PistolShotgunStand Up PaddleboardTequila TastingTerrarium MakingTomahawkZipline3rd Choice*Select OneBotoxCharcuterie BoardsEducation Policy Socratic DiscussionHealthy Treats: HummusiPhoneographyJames Webb Space TelescopeLashes / BrowsMah JonggMassageNature Hike — Tree IdentificationRifle / PistolShotgunStand Up PaddleboardTequila TastingTerrarium MakingTomahawkZipline8:30 p.m. Shuttle to Link ObservatoryNoYes8:30 p.m. Euchre Tournament*NoYesWednesday, Aug. 16 - 8:30-10 a.m.1st Choice*Select OneArcheryCommunity Engagement PanelGolfHistory of Indiana MusicHive ProductsHorseshoes / CornholeKrav MagaMassageRifle / PistolShotgunSneaker Art BarWelding2nd Choice*Select OneArcheryCommunity Engagement PanelGolfHistory of Indiana MusicHive ProductsHorseshoes / CornholeKrav MagaMassageRifle / PistolShotgunSneaker Art BarWelding3rd Choice*Select OneArcheryCommunity Engagement PanelGolfHistory of Indiana MusicHive ProductsHorseshoes / CornholeKrav MagaMassageRifle / PistolShotgunSneaker Art BarWeldingWednesday, Aug. 16 - 10:30-Noon1st Choice*Select OneArcheryCommunity Engagement PanelDronesGolfGrillingHistory of Indiana MusicHive ProductsHorseshoes / CornholeIndianapolis ZooKrav MagaLashes / BrowsMassagePickleballRifle / PistolShotgunSneaker Art BarTailgating 101WeldingWine Tasting2nd Choice*Select OneArcheryCommunity Engagement PanelDronesGolfGrillingHistory of Indiana MusicHive ProductsHorseshoes / CornholeIndianapolis ZooKrav MagaLashes / BrowsMassagePickleballRifle / PistolShotgunSneaker Art BarTailgating 101WeldingWine Tasting3rd Choice*Select OneArcheryCommunity Engagement PanelDronesGolfGrillingHistory of Indiana MusicHive ProductsHorseshoes / CornholeIndianapolis ZooKrav MagaLashes / BrowsMassagePickleballRifle / PistolShotgunSneaker Art BarTailgating 101WeldingWine TastingInterested in staying late on Wednesday?NoBee KeepingDronesGrillingHistory of Indiana MusicHorseshoe / CornholeSneaker Art BarWine TastingDepending on availability you may attend one session after lunch with the men in their 1:30 p.m. session.Payment InformationOption* I acknowledge that Botox has an additional fee: Payment TypeCredit CardCheckCredit Card 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
