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 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. 19 – 1:30-3 p.m.1st Choice*Select OneDecline ActivityAlpine TowerArt as an InvestmentBeyond Wealth (IBJ Track)BoxingChef Ben: MadeleinesDutch Oven CookingFloral ArrangingForging SteelPokerShattering the Glass (IBJ Track)2nd Choice*Select OneDecline ActivityAlpine TowerArt as an InvestmentBeyond Wealth (IBJ Track)BoxingChef Ben: MadeleinesDutch Oven CookingFloral ArrangingForging SteelPokerShattering the Glass (IBJ Track)3rd Choice*Select OneDecline ActivityAlpine TowerArt as an InvestmentBeyond Wealth (IBJ Track)BoxingChef Ben: MadeleinesDutch Oven CookingFloral ArrangingForging SteelPokerShattering the Glass (IBJ Track)Monday, Aug. 19 – 3:30-5 p.m.1st Choice*Select OneDecline ActivityAlpine TowerArt as an InvestmentBeyond Wealth (IBJ Track)BoxingChef Ben: MadeleinesDutch Oven CookingFloral ArrangingForging SteelShattering the Glass (IBJ Track)2nd Choice*Select OneDecline ActivityAlpine TowerArt as an InvestmentBeyond Wealth (IBJ Track)BoxingChef Ben: MadeleinesDutch Oven CookingFloral ArrangingForging SteelShattering the Glass (IBJ Track)3rd Choice*Select OneDecline ActivityAlpine TowerArt as an InvestmentBeyond Wealth (IBJ Track)BoxingChef Ben: MadeleinesDutch Oven CookingFloral ArrangingForging SteelShattering the Glass (IBJ Track)8:15 p.m. Poker TournamentNoYesHidden8:15 p.m. Paracord Bracelet MakingNoYesTuesday, Aug. 20 – 8:30-10 a.m.1st Choice*Select OneDecline ActivityBotoxCanoeingChef Bex: Food ScienceCoffee TastingFinding Balance (IBJ Track)GolfiPhoneographyNature Hike – Bird WatchingPolitics: Presidential RaceRestorative TouchRifle / PistolShotgunTomahawkTravel Agent Top FiveUS Foreign-Policy Socratic Discussion (IBJ Track)Vinyasa Flow2nd Choice*Select OneDecline ActivityBotoxCanoeingChef Bex: Food ScienceCoffee TastingFinding Balance (IBJ Track)GolfiPhoneographyNature Hike – Bird WatchingPolitics: Presidential RaceRestorative TouchRifle / PistolShotgunTomahawkTravel Agent Top FiveUS Foreign-Policy Socratic Discussion (IBJ Track)Vinyasa Flow3rd Choice*Select OneDecline ActivityBotoxCanoeingChef Bex: Food ScienceCoffee TastingFinding Balance (IBJ Track)GolfiPhoneographyNature Hike – Bird WatchingPolitics: Presidential RaceRestorative TouchRifle / PistolShotgunTomahawkTravel Agent Top FiveUS Foreign-Policy Socratic Discussion (IBJ Track)Vinyasa FlowTuesday, Aug. 20 – 10:30-Noon1st Choice*Select OneDecline ActivityBotoxCanoeingChef Bex: Food ScienceCoffee TastingFinding Balance (IBJ Track)Fly FishingGolfiPhoneographyMassageNature Hike – Bird WatchingPolitics in IndianaRestorative TouchRifle / PistolShotgunStand Up PaddleboardTomahawkTravel Agent Top FiveUS Foreign-Policy Socratic Discussion (IBJ Track)Yoga for Peace2nd Choice*Select OneDecline ActivityBotoxCanoeingChef Bex: Food ScienceCoffee TastingFinding Balance (IBJ Track)Fly FishingGolfiPhoneographyMassageNature Hike – Bird WatchingPolitics in IndianaRestorative TouchRifle / PistolShotgunStand Up PaddleboardTomahawkTravel Agent Top FiveUS Foreign-Policy Socratic Discussion (IBJ Track)Yoga for Peace3rd Choice*Select OneDecline ActivityBotoxCanoeingChef Bex: Food ScienceCoffee TastingFinding Balance (IBJ Track)Fly FishingGolfiPhoneographyMassageNature Hike – Bird WatchingPolitics in IndianaRestorative TouchRifle / PistolShotgunStand Up PaddleboardTomahawkTravel Agent Top FiveUS Foreign-Policy Socratic Discussion (IBJ Track)Yoga for PeaceTuesday, Aug. 20 – 1:30-3 p.m.1st Choice*Select OneDecline ActivityBotoxCharcuterie BoardsLunar Gold RushMah JonggMassageNature Hike – Tree IdentificationRifle / PistolShotgunSneaker Art BarStand up PaddleboardTerrarium MakingTomahawk2nd Choice*Select OneDecline ActivityBotoxCharcuterie BoardsLunar Gold RushMah JonggMassageNature Hike – Tree IdentificationRifle / PistolShotgunSneaker Art BarStand up PaddleboardTerrarium MakingTomahawk3rd Choice*Select OneDecline ActivityBotoxCharcuterie BoardsLunar Gold RushMah JonggMassageNature Hike – Tree IdentificationRifle / PistolShotgunSneaker Art BarStand up PaddleboardTerrarium MakingTomahawkTuesday, Aug. 20 – 3:30-5 p.m.1st Choice*Select OneDecline ActivityBotoxCharcuterie BoardsLunar Gold RushMah JonggMassageNature Hike – Tree IdentificationNegotiations (IBJ Track)Rifle / PistolShotgunSneaker Art BarSoap MakingStand up PaddleboardTomahawk2nd Choice*Select OneDecline ActivityBotoxCharcuterie BoardsLunar Gold RushMah JonggMassageNature Hike – Tree IdentificationNegotiations (IBJ Track)Rifle / PistolShotgunSneaker Art BarSoap MakingStand up PaddleboardTomahawk3rd Choice*Select OneDecline ActivityBotoxCharcuterie BoardsLunar Gold RushMah JonggMassageNature Hike – Tree IdentificationNegotiations (IBJ Track)Rifle / PistolShotgunSneaker Art BarSoap MakingStand up PaddleboardTomahawk8:30 p.m. Shuttle to Link ObservatoryNoYes8:30 p.m. Euchre TournamentNoYesWednesday, Aug. 21 – 8:30-10 a.m.1st Choice*Select OneDecline ActivityHeavy MachineryHistory of Film: Indiana DocumentariesKrav MagaNIL Presentation (IBJ Track)Rifle / PistolShotgunWelding2nd Choice*Select OneDecline ActivityHeavy MachineryHistory of Film: Indiana DocumentariesKrav MagaNIL Presentation (IBJ Track)Rifle / PistolShotgunWelding3rd Choice*Select OneDecline ActivityHeavy MachineryHistory of Film: Indiana DocumentariesKrav MagaNIL Presentation (IBJ Track)Rifle / PistolShotgunWeldingWednesday, Aug. 16 – 10:30-Noon1st Choice*Select OneDecline ActivityArcheryBourbon TastingHeavy MachineryHistory of Film: Indiana DocumentariesKrav MagaMassageNIL Presentation (IBJ Track)Rifle / PistolShotgunWeldingWine Tasting2nd Choice*Select OneDecline ActivityArcheryBourbon TastingHeavy MachineryHistory of Film: Indiana DocumentariesKrav MagaMassageNIL Presentation (IBJ Track)Rifle / PistolShotgunWeldingWine Tasting3rd Choice*Select OneDecline ActivityArcheryBourbon TastingHeavy MachineryHistory of Film: Indiana DocumentariesKrav MagaMassageNIL Presentation (IBJ Track)Rifle / PistolShotgunWeldingWine TastingHiddenInterested in staying late on Wednesday?NoCraps 101Wine 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 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
