Please review all information carefully, complete any fields that are blank, and update anything that has changed. It is not necessary to complete the form in one sitting--if you need to pause and continue another time, scroll to the bottom of the form and click "Save." You will be sent an email with a link to continue the form, and all the responses you have entered so far will be saved.
Fee Information
Based on your household size and income, you are eligible for a scholarship covering part of your camp fees. Your fees will be $50/week for one camper + $40/week for each additional camper. The fee payment schedule is as follows:
If you have questions or need to discuss a payment plan, please contact Liz Gottmer at liz.gottmer@peasleecenter.org or 513-621-5514.
Please note that these fees are in addition to the registration fees ($25 for one camper + $10 for each additional camper). You will receive details on how to pay registration and camp fees after you submit the registration form.
Based on your household size and income, your fees will be $100/week for one camper + $80/week for each additional camper. The fee payment schedule is as follows:
If you have questions or need to discuss a payment plan, please contact Liz Gottmer at liz.gottmer@peasleecenter.org or 513-621-5514.Please note that these fees are in addition to the registration fees ($25 for one camper + $10 for each additional camper), which must be paid by March 22 to reserve your spot(s). You will receive details on how to pay registration and camp fees after you submit the registration form.
Uh-oh! According to the date of birth you entered, this camper will not be between 13 and 15 years old in June 2023 and is not eligible for the Agents of Change program.
Parents of participants in Agents of Change (ages 13-15) or Risers (10-12) may give their child permission to sign themselves into and out of the program. If you choose to give this permission, you understand and agree that:
If this camper has asthma or allergies, the next few questions will ask you to provide emergency care instructions in case their condition is triggered during camp. If you would like to see sample emergency care plans with common responses to these questions, please click here.
Inhalers and any other medications that campers will or may need to use while they are in program must be provided to Peaslee before the first day of the program.
Epipens and any other medications that campers will or may need to use while they are in program must be provided to Peaslee before the first day of the program.
Please click here to add more medical care instructions.