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 will be commuting home each night. 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 24.T-shirt sizeMLXLXXL3XLEmergency 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?*NoBurglaryCommunity Engagement PanelRifle & PistolShotgunTomahawkDepending on availability you may attend one session before lunch with the women in their 10:30 a.m. session.Wednesday, Aug. 20 – 1:30-3 p.m.1st Choice*Select OneDecline ActivityArcheryChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceMaking A MovieMassagePickleballPokerPolice TrainingRifle & PistolShotgunSushi & SakiTequila TastingWelding2nd Choice*Select OneDecline ActivityArcheryChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceMaking A MovieMassagePickleballPokerPolice TrainingRifle & PistolShotgunSushi & SakiTequila TastingWelding3rd Choice*Select OneDecline ActivityArcheryChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceMaking A MovieMassagePickleballPokerPolice TrainingRifle & PistolShotgunSushi & SakiTequila TastingWeldingWednesday, Aug. 20 – 3:30-5 p.m.1st Choice*Select OneDecline ActivityArcheryChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceMaking A MovieMassagePickleballPokerPolice TrainingRifle & PistolShotgunTequila TastingWelding2nd Choice*Select OneDecline ActivityArcheryChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceMaking A MovieMassagePickleballPokerPolice TrainingRifle & PistolShotgunTequila TastingWelding3rd Choice*Select OneDecline ActivityArcheryChef Bex: Food ScienceCommunity Engagement PanelCPREntrepreneurshipFinding BalanceMaking A MovieMassagePickleballPokerPolice TrainingRifle & PistolShotgunTequila TastingWelding8:15 p.m. Nefouse Memorial Poker TournamentNoYes8:15 p.m. Paracord Bracelet MakingNoYesThursday, Aug. 21 – 8:30-10 a.m.1st Choice*Select OneDecline ActivityAI & LeadershipCanoeingEcon 101FacialsFishing on the LakeFly FishingGolfMassageNature Hike – BirdsNegotiationsPersonal Health & AgingPolice TrainingPoliticsRestorative TouchRifle & PistolShotgunStretch LabTomahawkWatches with Moyer2nd Choice*Select OneDecline ActivityAI & LeadershipCanoeingEcon 101FacialsFishing on the LakeFly FishingGolfMassageNature Hike – BirdsNegotiationsPersonal Health & AgingPolice TrainingPoliticsRestorative TouchRifle & PistolShotgunStretch LabTomahawkWatches with Moyer3rd Choice*Select OneDecline ActivityAI & LeadershipCanoeingEcon 101FacialsFishing on the LakeFly FishingGolfMassageNature Hike – BirdsNegotiationsPersonal Health & AgingPolice TrainingPoliticsRestorative TouchRifle & PistolShotgunStretch LabTomahawkWatches with MoyerThursday, Aug. 21 – 10:30 a.m.-Noon1st Choice*Select OneDecline ActivityAI & LeadershipCanoeingEcon 101FacialsFishing on the LakeFly FishingGolfHistory of Film: Sex on the ScreenMassageMedia 101Nature Hike – BirdsPersonal Health & AgingPolice TrainingRestorative TouchRifle & PistolShotgunStand Up PaddleboardStretch LabTomahawkWatches with Moyer2nd Choice*Select OneDecline ActivityAI & LeadershipCanoeingEcon 101FacialsFishing on the LakeFly FishingGolfHistory of Film: Sex on the ScreenMassageMedia 101Nature Hike – BirdsPersonal Health & AgingPolice TrainingRestorative TouchRifle & PistolShotgunStand Up PaddleboardStretch LabTomahawkWatches with Moyer3rd Choice*Select OneDecline ActivityAI & LeadershipCanoeingEcon 101FacialsFishing on the LakeFly FishingGolfHistory of Film: Sex on the ScreenMassageMedia 101Nature Hike – BirdsPersonal Health & AgingPolice TrainingRestorative TouchRifle & PistolShotgunStand Up PaddleboardStretch LabTomahawkWatches with MoyerThursday, Aug. 21 – 1:30-3 p.m.1st Choice*Select OneDecline ActivityBourbon TastingBurglaryEarth ShatteringFacialsForging SteelIndiana Music HistoryMassageNature Hike – TreesPastries with Chef BenPolice TrainingRifle & PistolSculptingShotgunStand Up PaddleboardTango TowerTomahawkU.S. Foreign PolicyZipline2nd Choice*Select OneDecline ActivityBourbon TastingBurglaryEarth ShatteringFacialsForging SteelIndiana Music HistoryMassageNature Hike – TreesPastries with Chef BenPolice TrainingRifle & PistolSculptingShotgunStand Up PaddleboardTango TowerTomahawkU.S. Foreign PolicyZipline3rd Choice*Select OneDecline ActivityBourbon TastingBurglaryEarth ShatteringFacialsForging SteelIndiana Music HistoryMassageNature Hike – TreesPastries with Chef BenPolice TrainingRifle & PistolSculptingShotgunStand Up PaddleboardTango TowerTomahawkU.S. Foreign PolicyZiplineThursday, Aug. 21 – 3:30-5 p.m.1st Choice*Select OneDecline ActivityBourbon TastingBurglaryEarth ShatteringFacialsForging SteelIndiana Music HistoryMassageNature Hike – TreesPastries with Chef BenPolice TrainingRifle & PistolShotgunStand Up PaddleboardTango TowerTomahawkZipline2nd Choice*Select OneDecline ActivityBourbon TastingBurglaryEarth ShatteringFacialsForging SteelIndiana Music HistoryMassageNature Hike – TreesPastries with Chef BenPolice TrainingRifle & PistolShotgunStand Up PaddleboardTango TowerTomahawkZipline3rd Choice*Select OneDecline ActivityBourbon TastingBurglaryEarth ShatteringFacialsForging SteelIndiana Music HistoryMassageNature Hike – TreesPastries with Chef BenPolice TrainingRifle & PistolShotgunStand Up PaddleboardTango TowerTomahawkZipline8:30 p.m. Shuttle to Link Observatory*NoYes8:30 p.m. Euchre Tournament*NoYesFriday, Aug. 22 – 8:30-10 a.m.1st Choice*Select OneDecline ActivityCoffee TastingKrav MagaMassagePolice TrainingRifle & PistolShotgunTomahawk2nd Choice*Select OneDecline ActivityCoffee TastingKrav MagaMassagePolice TrainingRifle & PistolShotgunTomahawk3rd Choice*Select OneDecline ActivityCoffee TastingKrav MagaMassagePolice TrainingRifle & PistolShotgunTomahawkFriday, Aug. 22 – 10:30 a.m.-Noon1st Choice*Select OneDecline ActivityCoffee TastingKrav MagaMassagePolice TrainingRifle & PistolShotgunTomahawk2nd Choice*Select OneDecline ActivityCoffee TastingKrav MagaMassagePolice TrainingRifle & PistolShotgunTomahawk3rd Choice*Select OneDecline ActivityCoffee TastingKrav MagaMassagePolice TrainingRifle & PistolShotgunTomahawkPayment 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 46202-3850This field is hidden when viewing the formTotalTotal
