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TAKING CARE - Screening Inquiry Form
Full-length previews can only be provided to those who complete the form. 

Please complete the short form below; someone from our team will contact you soon.

Filling out this form is solely an inquiry and not a commitment to host - just a request for information. 

Thank you!

-Team ROCO

If your organization is affiliated with a HOSA chapter — please designate your organization was either K-12 or College/University.

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First Name *
Last Name *
Organization / Institution Name *
Email address *
How would you categorize your organization or institution? *
City *
State / Province *
Country *
Proposed Screening Date *
Date can be an estimation and subject to change.
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Estimated Audience Size *
Would you like more information about inviting a representative from the film to participate in a panel or Q&A?
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Are you interested in becoming an ambassador for the film, to help spread the word within your community?
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Anything else you'd like us to know?
Disclaimer *
By submitting this inquiry, you agree with ROCO Films and the TAKING CARE film and impact teams processing the personal data you submit for the following purposes:
 
·       To communicate with you regarding the event for which you inquired about;
·       As reasonably necessary for the organization of the event for which you inquired about ; and
·       To receive information regarding future events.
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