KIDVID Waiting List Payment - Windsor Community Television

Child's Name*
First Last
Child's Name
First Last
Parent of Guardian Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Email
Would you like to be considered for a scholarship?
- Yes
- No
I understand that WIN-TV can not issue any refunds after June 1, 2024*
- Yes
- No
*For "Quantity" please indicate the number of students (1 or 2 )
KIDVID: Filmmaking - July 29 - August 2, 2024 Quantity
Price: $125.00
$1.25 Donation to help cover the cost of credit card processing fees (optional) Quantity
Price: $1.25
As a non-profit organization, we thank you for your donation.
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name