Vacation Bible School Registration
July 13-17, 2026
9 a.m. to noon
All Saints' Episcopal Church
1322 Kimball Avenue
Richland WA 99354
(509) 943-1169
www.allsaintsrichland.org
Parent/Guardian's Name:
Phone Number:
Format: (000) 000-0000.
Email:
example@example.com
Parent/Guardian's Name:
Phone Number:
Format: (000) 000-0000.
Email:
example@example.com
Preferred Mailing Address:
City:
Zip Code:
First Child's Name:
Age:
T-shirt size:
Allergies or other pertinent health information:
Second Child's Name:
Age:
T-shirt size:
Allergies or other pertinent health information:
Third Child's Name:
Age:
T-shirt size:
Allergies or other pertinent health information:
Fourth Child's Name:
Age:
T-shirt size:
Allergies or other pertinent health information:
Dismissal Information: Other people who may pick up these children from VBS:
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Medical and Photo Release:
The children listed above have permission to participate in Vacation Bible School sponsored by the Parish of All Saints' Episcopal Church, Richland, Washington.
I give permission for any photographs taken during VBS to be used by All Saints' for promotional purposes, including appearing on the website and social media (we do not identify minors).
In case of medical emergency, if I/we cannot be reached, permission is hereby given to seek appropriate medical attention for the above children, and to hold harmless All Saints' Parish, staff, and VBS volunteers.
Parent or Guardian signature
Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
In Case of Emergency
We will contact you first using the two phone numbers provided on the front.
Please provide an additional emergency contact person:
Emergency Contact name:
Contact phone:
Format: (000) 000-0000.
Is this a mobile phone?
Relationship to child:
The cost for attending VBS is $15 per child, with a maximum of $40 per family.
Camperships are available.
VBS is for preschool and elementary-age children.
Older youth may serve as assistants; contact Theresa Grate if interested.
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