BATH, PA [DOEPA COMMUNICATIONS]

On Monday, December 8, 2025, to assist families in preparing for St. Tikhon's Summer Camp 2026 application period, the Diocese is releasing the required medical forms as "Early Bird Forms" ahead of time.

Please Note: Completing These Forms Early Does Not Guarantee a Spot at Summer Camp 2026

Parents and guardians, applications for Summer Camp 2026 will open on February 14. Last year, the medical clearance timeline created some stress for families, so the required forms are being made available early. Please complete and save the PDFs now so you are prepared when the application window opens.

A reminder: the physical examination must be dated within twelve months of camp. If your child received a physical this past summer or fall, no new exam is required. The physician who performed the examination may simply sign the camp form.

Provided below are the required Medical Examination Form for all campers and the supplemental medical forms for those with specific conditions. Beginning February 14, you will also be asked to upload an image or PDF of your insurance information.

Required for All Campers
• Medical Examination Form

Additional Forms
• Diabetes Action Plan Form
• Asthma Action Plan Form
• Seizure Action Plan Form
• Food Allergy and Anaphylaxis Emergency Care Plan Form

Questions may be directed to youth@doepa.org. The Youth Ministry Team will be focused on the Winter Retreat until early February, so response times may be delayed. Please do not contact Patrick O’Leary or Dan Peck directly. All retreat and camp communications should be sent to the email address above so they may be properly received and organized.

To download the forms, please use the PDF links provided below.

Thank You!

Issued by the Diocesan Media Office