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Forget Me Not: Screening Interest Form
Thank you for your interest in hosting a screening! This form is for anyone person or entity representing a university, schools, a corporation/conference, a non-profit or a PTA group who might be interested in organizing a screening.

In case you aren't aware, any public screening (including educational), no matter how many people, requires a screening license and screening fee even if you have a copy of the Home Use DVD or a streaming link. Sharing the film outside the home is a violation of copyright law.  

As we fine tune our screening "packages" and toolkits, please take a moment and share as much information here as you can. We will be back in touch within 3 business days sharing options or asking more questions. Screenings will be possible via DVD or a limited-time digital download in a .mov format which is good for smaller screen environments depending on the projector.

We will then be in touch with you shortly with information about purchasing viewing rights!

**For lower-income K-12 public schools, as we realize a screening fee may not be realistic, we are working to find screening sponsors to underwrite these in order to meet our initial goal of 50 free screenings !


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Name *
Organization
Do you represent a lower-income school?
If yes to above please provide additional info
Organization Website URL (required if applicable)
Email *
Phone number *
Date of Event
MM
/
DD
/
YYYY
Time of Event
Time
:
City of Event(approximate or range is okay)
State/Province of Event *
Country of Event *
Type of Screening *
Is this a free event or will you charge for admission? *
Do you know how you will need to show the film?
Clear selection
How many people you expect to attend your event? *
Describe your event - specifically if you are considering a digital "exhibition"  - does your organization have a means to "host" the video if for a digital screening  or an Educational Digital Site License (DSL). (Limit 200 words). 
Is your event venue already confirmed/approved? *
Would you like to do a Q&A after your screening with the filmmakers if possible in person or by zoom? *
Would you be interested in Q&A via Skype?
Clear selection
Would you need a version of the film where English captions are on screen at all times? Or do you need other accommodations? If so, what?
Would you like to offer Spanish subtitles during your screening?
Would you like to volunteer to get the word out about the film in your community? How can you help?
If your organization moves ahead with a screening, may we share it on social media, newsletter and website?
If yes to above please provide additional info
How did you hear about the film? Any additional comments?
Can I change my answers later?
Clear selection
If you have seen the film, are you open to sharing a testimonial that can be used on website and for promotion?  Please include name, title and organization name if different than above
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