Camp Session Information
School/Organization Name: McCormick Camp Week 1
Organization Contact: Katya Nuques, 312-445-5062
Mirlene Dossous, 312-445-5034
Camp Session: Week 5 (July 13th-July 17th, 2026)
Address: 14253 E Epworth Spring Rd, Lewistown, IL 61542

Important Deadline Information:
- All forms must be completed by June 30th, 2026
- Limited space available - first-come, first-served basis
 
9% of survey complete.
Primary Parent/Guardian

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* Primary Parent:

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* Relationship to Child:

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* Home Address:

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* Daytime/Cell Phone:

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* Email Address:

Additional Parent/Guardian (Optional)

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* Secondary Parent/Guardian:

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* Relationship to Child:

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* Home Address:

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* Daytime/Cell Phone:

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* Email Address:

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