Post Registration "*" indicates required fields Women's Camp Price: Name* First Last Phone*Email* Company/Organization*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 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 MakingNoYes8:15 p.m. Wine 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 Tournament*NoYesWednesday, 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 InformationNOTE: Payment information is only needed if an activity has an additional fee. If you total balance is $0 you can skip the payment information and submit your registration.This 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
