Weirton Nazarene
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475 Colliers Way
Weirton, WV 26062
304 - 723 - 2006
VBS Registration Form
*
Indicates required field
Childs Name
*
First
Last
Childs Name
*
First
Last
This field is for families with more than one child registered in VBS 2019
Childs Age Group
*
Select One
Pre-K
Kindergarden
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
When selecting your Childs age group choose the grade that your child will be going into in the fall of 2019.
Childs Age Group
*
Select One
Pre-K
Kindergarden
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
This selection is for families with more than one child being registered into VBS 2019
Parent/Guardian Name
*
First
Last
Parent/Guardian Phone Number
*
Food Allergies
*
Yes
No
If selected yes please specify what allergies your child has
*
Submit
Home
I'm New
Contact Us
Meet the Pastor
When We Gather
Ministries
Worship Ministries
Children's Ministries
Youth Ministries
Young Adults
Senior Adult Ministries
Grief Share
World Missions
Women's Ministry
Men's Ministry
Media
E-Giving