Post Registration "*" indicates required fields 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 25.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?*NoHeavy MachineryRifle & PistolShotgunDepending on availability you may attend one session before lunch with the women in their 10:30 a.m. session.Wednesday, Aug. 19 – 1:30-3 p.m.1st Choice*Select OneDecline ActivityAnatomy of a Wrongful ConvictionArcheryCheese & WineEntrepreneurship with Scott DorseyHeavy MachineryMassagePickleballPro Football Talk with Ryan DiemRifle & PistolSelf DefenseShotgunSushi & SakeWorld of Watches with Moyer Fine Jewelers2nd Choice*Select OneDecline ActivityAnatomy of a Wrongful ConvictionArcheryCheese & WineEntrepreneurship with Scott DorseyHeavy MachineryMassagePickleballPro Football Talk with Ryan DiemRifle & PistolSelf DefenseShotgunSushi & SakeWorld of Watches with Moyer Fine Jewelers3rd Choice*Select OneDecline ActivityAnatomy of a Wrongful ConvictionArcheryCheese & WineEntrepreneurship with Scott DorseyHeavy MachineryMassagePickleballPro Football Talk with Ryan DiemRifle & PistolSelf DefenseShotgunSushi & SakeWorld of Watches with Moyer Fine JewelersWednesday, Aug. 19 – 3:30-5 p.m.1st Choice*Select OneDecline ActivitySelf Defense2nd Choice*Select OneDecline ActivitySelf Defense3rd Choice*Select OneDecline ActivitySelf Defense8:15 p.m. Nefouse Memorial Poker TournamentNoYes8:15 p.m. Paracord Bracelet MakingNoYesThursday, Aug. 20 – 8:30-10 a.m.1st Choice*Select OneDecline ActivityBook Chat: Top PicksChanging Indy's Skyline & MoreCooking w/ Chef RickyGolfMassageNature Hike – BirdsPersonal Health & AgingPoliticsRifle & PistolShotgunTomahawkYomassage2nd Choice*Select OneDecline ActivityBook Chat: Top PicksChanging Indy's Skyline & MoreCooking w/ Chef RickyGolfMassageNature Hike – BirdsPersonal Health & AgingPoliticsRifle & PistolShotgunTomahawkYomassage3rd Choice*Select OneDecline ActivityBook Chat: Top PicksChanging Indy's Skyline & MoreCooking w/ Chef RickyGolfMassageNature Hike – BirdsPersonal Health & AgingPoliticsRifle & PistolShotgunTomahawkYomassageThursday, Aug. 20 – 10:30 a.m.-Noon1st Choice*Select OneDecline ActivityAI & LeadershipBook Chat: Top PicksChanging Indy's Skyline & MoreCooking w/ Chef RickyFly FishingGolfMassageMedia: Ask the EditorNature Hike – BirdsPersonal Health & AgingRifle & PistolShotgunStand Up PaddleboardTomahawkWatersports FunYomassage2nd Choice*Select OneDecline ActivityAI & LeadershipBook Chat: Top PicksChanging Indy's Skyline & MoreCooking w/ Chef RickyFly FishingGolfMassageMedia: Ask the EditorNature Hike – BirdsPersonal Health & AgingRifle & PistolShotgunStand Up PaddleboardTomahawkWatersports FunYomassage3rd Choice*Select OneDecline ActivityAI & LeadershipBook Chat: Top PicksChanging Indy's Skyline & MoreCooking w/ Chef RickyFly FishingGolfMassageMedia: Ask the EditorNature Hike – BirdsPersonal Health & AgingRifle & PistolShotgunStand Up PaddleboardTomahawkWatersports FunYomassageThursday, Aug. 20 – 1:30-3 p.m.1st Choice*Select OneDecline ActivityBeyond WealthBourbon TastingRifle & PistolShotgunStand Up PaddleboardTequila TastingTomahawkWatersports Fun2nd Choice*Select OneDecline ActivityBeyond WealthBourbon TastingRifle & PistolShotgunStand Up PaddleboardTequila TastingTomahawkWatersports Fun3rd Choice*Select OneDecline ActivityBeyond WealthBourbon TastingRifle & PistolShotgunStand Up PaddleboardTequila TastingTomahawkWatersports FunThursday, Aug. 20 – 3:30-5 p.m.1st Choice*Select OneDecline ActivityBeyond WealthRifle & PistolShotgunStand Up PaddleboardTomahawkWatersports FunZipline2nd Choice*Select OneDecline ActivityBeyond WealthRifle & PistolShotgunStand Up PaddleboardTomahawkWatersports FunZipline3rd Choice*Select OneDecline ActivityBeyond WealthRifle & PistolShotgunStand Up PaddleboardTomahawkWatersports FunZipline8:30 p.m. Euchre Tournament*NoYesThis field is hidden when viewing the form8:30 p.m. Wine Tasting with RNDC*NoYesFriday, Aug. 21 – 9:00-10:30 a.m.1st Choice*Select OneDecline ActivityInternational Interventions in Failing StatesiPhone PhotographyRifle & PistolShotgun2nd Choice*Select OneDecline ActivityInternational Interventions in Failing StatesiPhone PhotographyRifle & PistolShotgun3rd Choice*Select OneDecline ActivityInternational Interventions in Failing StatesiPhone PhotographyRifle & PistolShotgun
