Women's Weekend 2026 X/TwitterThis field is for validation purposes and should be left unchanged.Primary Contact Name(Required)Address(Required) Street Address Address Line 2 City State ZIP Primary Phone(Required)Email(Required) Group InformationAttendee #1Name (First/Last)Birth Date MM slash DD slash YYYY Address (if different than above)Meal Plan (Must select one) Standard Vegetarian Vegetarian, Gluten Free Vegetarian, Dairy Free Vegan Vegan, Gluten Free Gluten Free Gluten Free, Dairy Free Dairy Free Attendee #2Name (First/Last)Birth Date MM slash DD slash YYYY Address (if different than above)Meal Plan (Must select one) Standard Vegetarian Vegetarian, Gluten Free Vegetarian, Dairy Free Vegan Vegan, Gluten Free Gluten Free Gluten Free, Dairy Free Dairy Free Attendee #3Name (First/Last)Birth Date MM slash DD slash YYYY Address (if different than above)Meal Plan (Must select one) Standard Vegetarian Vegetarian, Gluten Free Vegetarian, Dairy Free Vegan Vegan, Gluten Free Gluten Free Gluten Free, Dairy Free Dairy Free Attendee #4Name (First/Last)Birth Date MM slash DD slash YYYY Address (if different than above)Meal Plan (Must select one) Standard Vegetarian Vegetarian, Gluten Free Vegetarian, Dairy Free Vegan Vegan, Gluten Free Gluten Free Gluten Free, Dairy Free Dairy Free HousingAll participants will be housed in either Schwartz Lodge or one of our Smith Leadership Village Cabins. All accommodations are heated and feature twin, bottom-bunk beds for comfort and accessibility. Schwartz LodgeFirst ChoiceSecond ChoiceCozy rooms for 1–2 women, with 12 rooms total and 6 shared bathrooms.Smith Leadership Village CabinsFirst ChoiceSecond ChoiceEach cabin includes two bunk rooms (up to 6 women per room) and two shared bathrooms.If you have a roommate request, please list them here:We want everyone to feel safe, seen, and supported in their space. We’ll do our best to honor your preferences while creating a welcoming environment for all.Payment OptionsCamp Manito-wish accepts the following forms of payment. Note credit card payments will be charged a 2% convenience fee upon processing. Please make your selection below. E-Check Credit Card with 2% fee Paper Check (please mail to: Camp Manito-wish YMCA, PO Box 246, Boulder Junction, WI 54512) Payment Total ($325 per attendee)(Required)Bank Name (for eCheck)Account Type (for eCheck) Checking Savings Bank Routing Number (for eCheck)Please confirm number before continuing.Bank Account Number (for eCheck)Please confirm number before continuing.Credit Card Type Visa Mastercard Discover American Express Credit Card NumberPlease confirm number before continuing.Expiration Date (mm/yyyy)Security (CVV) CodeThe security code on the back of your card.Cardholder Address (if different than primary contact) Street Address Address Line 2 City State ZIP Consent(Required) I hereby give permission to use any video, photographs, or written statements from my family's experience in public relations materials, including the internet, without compensation.Cancellation policy: I understand that in the event of my cancellation within 21 days of the program, Camp Manito-wish YMCA will retain the full fee. Cancellation on my part within 22-60 days of the program will result in Camp Manito-wish retaining 50% of the program fee. For any cancellation more than 60 days before a program, Camp Manito-wish will retain 25% of the pro- gram fee.Signature (your full name)(Required)Date(Required) MM slash DD slash YYYY CAPTCHA