VBS - Weirton Church of the Nazarene

June 19-23, 6:00 pm - 8:30 pm
For ALL ages!
(There is no cost to attend this event)

475 Colliers Way
Weirton, WV 26062
304 - 723 - 2006

VBS Registration Form

* Indicates required field

Student's Name *

First

Last

Student's Age/Grade *

Parent/Guardian Name *

First

Last

Parent/Guardian Phone Number *

T-Shirt size *

Allergies/Dietary Concerns *

Yes No

If selected "yes" please specify *

Submit