Fall Camp Registration Form

2023 Fall Camp Registration Form

Choose days:

Custody: If parents are divorced or separated, and/or the child is the subject of a court order, a certified copy (signed by a judge) of the most current document must accompany this form. If applicable, please indicate the court ordered custodial arrangement:


I agree to

Mustard Seed Community Childcare at Our Savior requests permission to take pictures or videos of your child and permission to use any photographs or video footagefor promotional or other legitimate reason, including newspapers, brochures, website, Facebook, etc.


Parent Notification and Social Media Policy

13 + 8 =

For More Information

Please contact: Donna Marie Clancy, Executive Director

Or call: 856-669-4491