SEAS Youth 2025-2026 Registration Form Logo
  • SEAS Youth Ministry Teen Registration

    2025-2026 School Year (August 2025-July 2026)
  • The information provided below will automatically populate the PDF/forms required by the Diocese of St Augustine to participate in youth ministry. If you have any questions please contact Jeremy Vest, Director of Youth Ministry, at jvest@seaspcfl.org.

    You can only register one teen at a time on this online form - but once you've registered your teen it is good for the entire 2025-2026 school year!

  • YOUTH INFORMATION:

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  • PARENT/GUARDIAN INFORMATION:

  • YOUTH MEDICAL & EMERGENCY CONTACT INFORMATION:

  • PLEASE NOTE:  The emergency contact CANNOT be the same person listed as "parent/guardian #1" on this form.  During an emergency, our first priority is contacting the parent/guardian.  We will only contact the individual listed as the emgergency contact if we CANNOT reach the parent/guardian.

  • PERMISSION, RELEASES, SIGNATURES

    Please review the two different sections below and sign/date. If there are any sections you do not wish to sign please reach out to Jeremy Vest, Director of Youth Ministry, at jvest@seaspcfl.org for guidance.
  • Parent Permission, Release of Liability, Medical Waiver, Publicity Waiver

    Parent Permission, Release of Liability, Medical Waiver, Publicity Waiver

  • Parent Permission and Release of Liability:

    The above child is eligible to participate in above parish-sponsored event. This activity will take place under the guidance and supervision of employees/volunteers from the above parish.

    If you would like your child to participate in this event, please read, complete, sign and return this form which includes your consent, as well as a full release of liability. As parent or legal guardian, you remain fully responsible for any acts of the named child during this activity.

    The undersigned parent, guardian or legal representative hereby consents to the participation of the above-noted child in the event described and further consents to the conditions stated above on participating in this event, including the method of transportation. It is understood that this event will take place away from the parish grounds and that the child will be under the supervision of a designated parish employee(s)/volunteers on the stated dates.

    For and in consideration of the child being allowed to participate in this event, and other valuable consideration, the undersigned parent, guardian or legal representative, on behalf of the child and the child’s parents, personal representatives, assigns, heirs, and next of kin, does hereby release and hold harmless the Diocese of St. Augustine, Bishop Erik Pohlmeier, as Bishop of the Diocese of St. Augustine, a corporation sole, Bishop Erik Pohlmeier, individually, the above- noted parish, and employees and agents of said parties engaged in this particular event, their personal representatives or assigns, from any loss or damage on account of any injury to the person or the personal property, of the child, or death, caused by negligence or otherwise, while the child is engaged in the above-stated event or in transportation to and from said event. The undersigned expressly agrees that this release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida, and that if any portion of this Agreement is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

    The undersigned parent, guardian, legal representative further acknowledges that he/she is authorized to enter this Agreement on behalf of the child, and the child’s parents, personal representatives, assigns, heirs, and next of kin.

    Medical Release:

    MEDICAL MATTERS:  I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.  (Of the following statements pertaining to medical matters, sign only in accordance with your wishes.)

    EMERGENCY MEDICAL TREATMENT:  In the event of an emergency, I hereby give permission to Diocese of St. Augustine’s employees, volunteers, or representatives to seek medical treatment for my child above named.  In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the Diocesan representatives or volunteers to hospitalize, secure proper treatment for, and to order injection and / or anesthesia and / or surgery for my child above named.

    OTHER MEDICAL TREATMENT:  In the event it comes to the attention of the Diocese of St. Augustine’s employees, volunteers or representatives that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, or diarrhea, I hereby give permission for over-the-counter medication to be administered to my child according to directions.

    Photography & Media Release Form for Minor Children:

    Without compensation, I hereby grant the Catholic Diocese of St. Augustine (the “Diocese of St. Augustine”), its ministries, parishes, schools and other affiliated entities, permission to record my child’s appearance, physical likeness and/or voice on videotape, on film, or digital video disk, or other means, and/or take photographs of my child.

    Notwithstanding any prohibition as may be contained in Section 540.08, Florida Statutes, I hereby freely and voluntarily consent to the use, reproduction, and distribution of photographs, video recordings or other media capturing my child’s image, physical likeness, or voice for an indefinite period of time or until such time I expressly revoke my consent in writing. These materials may include, but are not limited to news, editorial content, publications, promotional materials, electronic media (websites, social media channels, podcasts, videos), and/or printed brochures.

    In addition, I understand and agree that:

    · The Diocese of St. Augustine, its ministries, parishes, schools, and other affiliated entities may alter, edit or modify these materials as needed, without restriction.

    · The Diocese of St. Augustine retains the sole ownership and right to copyright any such materials.

    · My consent is voluntary, and I waive any rights to inspect or approve the finished products or the specific use of such materials.

    I agree to hold the Diocese of St. Augustine, the Bishop of the Diocese of St. Augustine, its employees and agents, and any media outlet or representatives involved in the creation of distribution of the materials harmless against claim, liability, loss, or damage caused by, or arising from any claims, demands or liability arising from or related the creation, use, production, or distribution of these materials. This Photography and Media Release Form for Minor Children is binding and applies to any claims of defamation, invasion of privacy, or rights of publicity.

    I have read this Photography and Media Release Form for Minor Children before signing and fully understand the contents, meaning, and impact of this release. I understand that I am free to address any specific questions and have done so prior to signing this release.

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  • DONATION TO SEAS YOUTH

    As we all know inflation has made a big impact on everyone and youth ministry is no exception.  At St Elizabeth Ann Seton, we want all teens to be able to participate in all of our events.  We never want to exclude someone because of financial issues.  We have never charged a fee to be part of the youth group and we never will.

    However, as you can imagine, our costs have increased significantly.  We spend on average $75 at every youth night to feed teens and for materials.  If your family is able, would you consider making a one-time donation to help offset some of these costs?  Every bit helps: $25, $50, $100, or more!

    Even if you are not able to do this at this time, could you please pray for us?  We are definitely praying for all of our families and teens!!

    Donations can be made with a credit card via PayPal (see below).  If you would rather donate via check, please make checks payable to St Elizabeth Ann Seton and put Youth Group in the memo section of the check.  Checks can be turned in to the rectory office or at one of our youth group events!  Any and all donations are welcome!

    Again, this is NOT a required fee -- we are simply asking for any help that can be provided.  We will ALWAYS allow EVERY teen to participate in youth ministry here at Mother Seton!  Please pray for us!

    God Bless,

    Jeremy Vest
    Director of Youth Ministry
    St Elizabeth Ann Seton Catholic Church

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