Midwest Pole Camp Registration Form

MIDWEST POLE CAMP Registration Form

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Name

Phone

Date of birth (YYYY-MM-DD)

Instagram handle

How long have you been practicing pole?

What level camp are you signing up for?

Do you have any injuries or medical conditions?

How would you like to be billed for the remaining $1200 balance? Note: All final payments must be made by March 26, 2026.

Included in your camp registration is the entrance into a grand prize drawing with the chance to win 1st, 2nd and 3rd place prizes. If you wish to participate in the drawing, please provide your merch sizing below in case you are the winner. This is not a guarantee of winning. If you do not wish to be entered into the drawing, leave the boxes below empty.

Polewear sizing (bodysuit, top, bottom)

Pole heels sizing

Kneepad sizing

Is there anything else you’d like to share?

Congratulations on choosing to invest in YOURSELF & be a part of Midwest Pole Camp: Milwaukee. You’ll receive a confirmation email within 72 hours.