Pre 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 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 State ZIP Code

Phone*

Email*

Payment Type

Billing Address*

Street Address Address Line 2 City State ZIP Code

Card Holder*

Card Number*

Card Expiration*

Card CVV*

Please 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 46202-3850