Healing People Heal the Planet Screening Request Form
Kindly complete your request fir a screening of the Documentary "Healing People Heal the Planet" and a facilitated dialogue online or in person about cultivating eco-awareness, building eco-affinity and embodies eco-activism and drawing inspiration for regeneration from our love of Nature. 
You will receive a confirmation shortly.
You may contact ahameducation@gmail.com for more information. 
Last Name *
First Name *
Email *
Phone Number *
Role / Title *
Affiliation (Government, UN Agency, Organization, School or Other Entity) *
City and country where you are located *
How many participants will be in attendance? *
Please tell us about your target audience, specific needs, and estimated date / timeline when you would like the film to be screened.  *
Are you requesting an in-person or virtual screening?
 *
Required
Will you be providing screening equipment/ technology?
 *
Required
Fees/donations to support the film and our work can be made at https://www.ahameducation.org/donate 
Thank you for your registration and interest. 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms