Zero Weeks: Screening Request Form

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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 *

Last Name *

Organization/Group/School Affiliation *

Are you part of a national network working for paid family leave? If so, which one?

Email Address *

Phone *

Shipping Address *

Approximate Date of Screening if known

YYYY

Any additional dates of screenings

Location of Screening if known

Are you planning to screen the full feature or selected scenes version of the film? *

Full Feature

Selected Scenes Version (20 minutes)

Describe your plans for the screening. What are your tentative goals for the event?

How many people do you anticipate will attend?

Are you interested in booking the film's director, Ky Dickens to speak with the film?

Yes

Maybe (we will follow up with more information to help you decide!)

Clear selection

Are you a: *

Business

Nonprofit

Congregation

Community Group

Other:

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