St. Elizabeth Ann Seton Youth Ministry Registration

Seton Youth Ministry Registration 2022-2023

The cost for Youth Ministry enrollment is $50 per child which covers materials, supplies, etc. If you are unable to pay that amount please make a donation as you are able. All registered students will receive their own leather bound copy of the Great Adventure Bible which we will use this year for our Bible in a Year bible study. If you have questions please contact Tim Schosser at tschosser@gmail.com.
Seton Youth Ministry Meeting Times

Our high school youth group meets from 6:30pm to 8:00pm on Wednesday nights in the youth room/parish hall. Every night includes dinner, awesome funness, and bible study. Our middle school youth group meets from 6:30pm to 8:00pm on Monday nights in the youth room/parish hall. Every night includes dinner, equally awesome funness, and bible study.
NOYes
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FATHER
Name (First, MI, Last)
Cell Phone
Format: (000) 000-0000.
Work/Alt Phone
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Address
Email
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Date of Birth

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MOTHER
Name (First, MI, Last)
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Format: (000) 000-0000.
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Format: (000) 000-0000.
Address
Email
example@example.com
Date of Birth

MonthDayYear
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CHILD /YOUTH INFORMATION
Name
M/F
Grade
Sacraments Received
Date of Birth

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Name
M/F
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Sacraments Received
Date of Birth

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Name
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Date of Birth

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Emergency Contact (other than spouse or self)
Name
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Medical Matters

I hereby warrant that to the best of my knowledge. my child is in good health, and assume all responsibility for the health of my child. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment
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Non-prescription medication: I hereby grant permission for non-prescription medication to be given to my child if deemed appropriate by St. Elizabeth Ann Seton staff or volunteers
Parent/Guardian SIGNATURE

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I/We, the parent(s)guardian(s) of the children named on this form, authorize and give full consent without limitation or reservation, to St. Elizabeth Ann Seton Church and Thomas Cross Missions, to publish any photograph or video in which the named student(s) appear(s) while participating in any program associated with St. Elizabeth Ann Seton Church. There will be no compensation for use of any photograph or video at the time of publication or in the future.
Parent/Guardian Signature

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TRANSPORTATION CONSENT AND LIABILITY RELEASE I hereby grant permission for my child(ren) named above to participate in any and all events sponsored by the parish that occur away from the parish site and that may or may not require transportation to and/or from said event. This means any event sponsored by St. Elizabeth Ann Seton Catholic Church and the Office of Youth and Young Adult Ministries of the Diocese of Lexington between July 1, 2022 and June 30. 2023.

These activities will take place under the quidance and direction of parish employees and/or volunteers from St. Elizabeth Ann Seton Catholic Church in Lexington KY. These activities include but are not limited to the following trips. All trips unless otherwise stated are from 6:30pm to 8:00pm and do not include transportation. All trips are for students in the 6th-12th grade. Friends are always welcome.

9/25 Get Air

10/23 Spook World

11/20 Movie Tavern

12/11 Gatti-Town

1/22 Perfect North (8am to 10pm, transportation by bus)

1/30 Foam Warz

2/19 Lex Live

3/5 Malibu Jacks

3/24-3/26 MS retreat (5pm Friday - 12pm Sunday at bluegrass christian camp Transportation by bus)

4/16 Countdown Games

5/5-5/7 HS retreat (5pm Friday - 12pm Sunday at bluegrass christian camp Transportation by bus)

The mode of transportation to these events may include walking, public transportation, personal vehicles, and/or chartered bus. Transportation vehicles may be driven by designated adult parish employees and/or volunteers. As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above named child(ren)/ participants. And therefore agree on behalf of myself, my child named herein, and our heirs, successors, and assigna, to hold harmless and defend St. Elizabeth Ann Seton Catholic Church and Thomas Cross Missions in Lexington, Ky. its officers, directors, employees, and agents, and the Diocese of Lexington, its employees and agents, chaperones or representatives associated with the event from any claim arising from or in connection with my child attending the event or in connection with any injury (including death) or cost of medical treatment in connection therewith and agree to compensate the parish its officers, directors, and agents and chaperons or representative associated with the évent for reasonable attorney's fees and expenses which may incur in any action brought against them as result of such injury damage, unless such claim arises from the negligence of the parish/diocese.
Parent/Guardian SIGNATURE

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DATE

MonthDayYear
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DETAILED PRESCRIPTION INFORMATION:
Name of Child, medications being taken, and specific dose instructions
ADDITIONAL CHILDREN/YOUTH
Name
M/F
Grade
Sacraments Received
Should be Empty:

Seton Youth Ministry Registration 2022-2023

Seton Youth Ministry Meeting Times

FATHER

MOTHER

CHILD /YOUTH INFORMATION

Emergency Contact (other than spouse or self)

Medical Matters

DETAILED PRESCRIPTION INFORMATION:

ADDITIONAL CHILDREN/YOUTH