Zero Weeks: Screening Request Form
Thank you for your interest in hosting a screening of Zero Weeks! Please fill out the below form and we will follow up as soon as possible.

First Name *
Your answer
Last Name *
Your answer
Organization/Group/School Affiliation *
Your answer
Are you part of a national network working for paid family leave? If so, which one?
Your answer
Email Address *
Your answer
Phone *
Your answer
Shipping Address *
Your answer
Approximate Date of Screening if known
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YYYY
Any additional dates of screenings
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Location of Screening if known
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Are you planning to screen the full feature or selected scenes version of the film? *
Describe your plans for the screening. What are your tentative goals for the event?
Your answer
How many people do you anticipate will attend?
Your answer
Are you interested in booking the film's director, Ky Dickens to speak with the film?
Are you a: *
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