Registration "*" indicates required fields Women'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 will be commuting home each night. I 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*How many years have you attended camp (counting this year)?:*Please enter a number from 1 to 16.T-shirt sizeSMLXLXXLEmergency 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.Monday, Aug. 18 – 1:30-3 p.m.1st Choice*Select OneDecline ActivityArcheryBook Chat: Top PicksEcon 101Floral ArrangingLashes / BrowsMassagePastries with Chef BenPokerSneaker Art BarSoap MakingTango TowerYoga: Vinyasa FlowZipline2nd Choice*Select OneDecline ActivityArcheryBook Chat: Top PicksEcon 101Floral ArrangingLashes / BrowsMassagePastries with Chef BenPokerSneaker Art BarSoap MakingTango TowerYoga: Vinyasa FlowZipline3rd Choice*Select OneDecline ActivityArcheryBook Chat: Top PicksEcon 101Floral ArrangingLashes / BrowsMassagePastries with Chef BenPokerSneaker Art BarSoap MakingTango TowerYoga: Vinyasa FlowZiplineMonday, Aug. 18 – 3:30-5 p.m.1st Choice*Select OneDecline ActivityArcheryBook Chat: Top PicksEcon 101Floral ArrangingLashes / BrowsMassagePastries with Chef BenPokerSneaker Art BarSoap MakingTango TowerYoga: Yoga for PeaceZipline2nd Choice*Select OneDecline ActivityArcheryBook Chat: Top PicksEcon 101Floral ArrangingLashes / BrowsMassagePastries with Chef BenPokerSneaker Art BarSoap MakingTango TowerYoga: Yoga for PeaceZipline3rd Choice*Select OneDecline ActivityArcheryBook Chat: Top PicksEcon 101Floral ArrangingLashes / BrowsMassagePastries with Chef BenPokerSneaker Art BarSoap MakingTango TowerYoga: Yoga for PeaceZipline8:15 p.m. Poker TournamentNoYes8:15 p.m. Paracord Bracelet MakingNoYesWine Tasting with RNDCNoYesTuesday, Aug. 19 – 8:30-10 a.m.1st Choice*Select OneDecline ActivityAI & LeadershipBotoxDermaplaningFly FishingGolfJewelry MakingKrav MagaLashes & BrowsMassageNature Hike – BirdsPoliticsRestorative TouchRifle & PistolShotgunStretch LabTomahawk2nd Choice*Select OneDecline ActivityAI & LeadershipBotoxDermaplaningFly FishingGolfJewelry MakingKrav MagaLashes & BrowsMassageNature Hike – BirdsPoliticsRestorative TouchRifle & PistolShotgunStretch LabTomahawk3rd Choice*Select OneDecline ActivityAI & LeadershipBotoxDermaplaningFly FishingGolfJewelry MakingKrav MagaLashes & BrowsMassageNature Hike – BirdsPoliticsRestorative TouchRifle & PistolShotgunStretch LabTomahawkTuesday, Aug. 19 – 10:30-Noon1st Choice*Select OneDecline ActivityAI & LeadershipBotoxDermaplaningFly FishingGolfHistory of Film: Sex on the ScreenJewelry MakingKrav MagaLashes & BrowsMassageMedia 101Nature Hike – BirdsRestorative TouchRifle & PistolShotgunStand Up PaddleboardStretch LabTomahawk2nd Choice*Select OneDecline ActivityAI & LeadershipBotoxDermaplaningFly FishingGolfHistory of Film: Sex on the ScreenJewelry MakingKrav MagaLashes & BrowsMassageMedia 101Nature Hike – BirdsRestorative TouchRifle & PistolShotgunStand Up PaddleboardStretch LabTomahawk3rd Choice*Select OneDecline ActivityAI & LeadershipBotoxDermaplaningFly FishingGolfHistory of Film: Sex on the ScreenJewelry MakingKrav MagaLashes & BrowsMassageMedia 101Nature Hike – BirdsRestorative TouchRifle & PistolShotgunStand Up PaddleboardStretch LabTomahawkTuesday, Aug. 19 – 1:30-3 p.m.1st Choice*Select OneDecline ActivityBotoxBourbon TastingEarth ShatteringFacialsForging SteelJewelry MakingLashes & BrowsMassageNature Hike – TreesRifle & PistolSculptingShotgunSprig & Plate: The Art of CharcuterieStand Up PaddleboardTequila TastingTerrarium MakingTomahawkU.S. Foreign Policy2nd Choice*Select OneDecline ActivityBotoxBourbon TastingEarth ShatteringFacialsForging SteelJewelry MakingLashes & BrowsMassageNature Hike – TreesRifle & PistolSculptingShotgunSprig & Plate: The Art of CharcuterieStand Up PaddleboardTequila TastingTerrarium MakingTomahawkU.S. Foreign Policy3rd Choice*Select OneDecline ActivityBotoxBourbon TastingEarth ShatteringFacialsForging SteelJewelry MakingLashes & BrowsMassageNature Hike – TreesRifle & PistolSculptingShotgunSprig & Plate: The Art of CharcuterieStand Up PaddleboardTequila TastingTerrarium MakingTomahawkU.S. Foreign PolicyTuesday, Aug. 19 – 3:30-5 p.m.1st Choice*Select OneDecline ActivityBotoxBourbon TastingEarth ShatteringFacialsForging SteelIndiana Music HistoryJewelry MakingLashes & BrowsMassageNature Hike – TreesRifle & PistolSculptingShotgunSprig & Plate: The Art of CharcuterieCharcuterieStand Up PaddleboardTequila TastingTerrarium MakingTomahawk2nd Choice*Select OneDecline ActivityBotoxBourbon TastingEarth ShatteringFacialsForging SteelIndiana Music HistoryJewelry MakingLashes & BrowsMassageNature Hike – TreesRifle & PistolSculptingShotgunSprig & Plate: The Art of CharcuterieCharcuterieStand Up PaddleboardTequila TastingTerrarium MakingTomahawk3rd Choice*Select OneDecline ActivityBotoxBourbon TastingEarth ShatteringFacialsForging SteelIndiana Music HistoryJewelry MakingLashes & BrowsMassageNature Hike – TreesRifle & PistolSculptingShotgunSprig & Plate: The Art of CharcuterieCharcuterieStand Up PaddleboardTequila TastingTerrarium MakingTomahawk8:30 p.m. Shuttle to Link ObservatoryNoYes8:30 p.m. Euchre TournamentNoYesWednesday, Aug. 20 – 8:30-10 a.m.1st Choice*Select OneDecline ActivityBurglaryCanoeingChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceHealth is WealthLashes & BrowsMassageNegotiationsPickleballRifle & PistolShotgunTomahawk2nd Choice*Select OneDecline ActivityBurglaryCanoeingChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceHealth is WealthLashes & BrowsMassageNegotiationsPickleballRifle & PistolShotgunTomahawk3rd Choice*Select OneDecline ActivityBurglaryCanoeingChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceHealth is WealthLashes & BrowsMassageNegotiationsPickleballRifle & PistolShotgunTomahawkWednesday, Aug. 20 – 10:30-Noon1st Choice*Select OneDecline ActivityBurglaryCanoeingChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceHealth is WealthLashes & BrowsMassagePickleballRifle & PistolShotgunSushi & SakeTomahawk2nd Choice*Select OneDecline ActivityBurglaryCanoeingChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceHealth is WealthLashes & BrowsMassagePickleballRifle & PistolShotgunSushi & SakeTomahawk3rd Choice*Select OneDecline ActivityBurglaryCanoeingChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceHealth is WealthLashes & BrowsMassagePickleballRifle & PistolShotgunSushi & SakeTomahawkInterested in staying late on Wednesday?NoArcheryFinding BalanceMaking a MovieWeldingDepending on availability you may attend one session after lunch with the men in their 1:30 p.m. session.Payment InformationThis field is hidden when viewing the formOption* I acknowledge that Botox has an additional fee: Payment 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 46202-3850This field is hidden when viewing the formTotalTotal
