Summer Camp Registration Form

2023 Summer Camp Registration Form

Choose Weeks (Tuition Fee $300/week): All registrations must be accompanied by the $100 registration fee. Registration fee is per family and is applied to camp fees. All camp fees must be paid by June 1st. Refund Policy: 50% refund given until May 1. No refund after June 21.

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.

12 + 9 =

For More Information

Please contact: Donna Marie Clancy, Executive Director

Or call: 856-669-4491