"Schindler's List" Group Tickets Application
Please note that these are paid screenings with limited availability. When filling out this form, please be exact about the numbers you enter. If you are unsure about exact numbers, feel free to enter a range.

Also, please make sure the contact information is up-to-date so that I may contact you if I have enough tickets available.

Finally: Filling out this form is no guarantee for tickets. You may very well hear back from me and you may very well not. Both seats and the money to pay for them is limited. However, I'll do my best at getting back to you quickly and at least 7 days before the show so that you may plan accordingly.

If you are selected for tickets, you will receive an email from me. If I know for sure that I won't be able to accommodate you, you will receive an email from me as well.

What is your name? *
Your answer
Where do you teach? (Please enter institution's name) *
Your answer
What subject(s) do you teach? *
Your answer
What grade(s) would you take to the screening? *
Your answer
What zip code is your institution located at? *
Your answer
How many miles from your institution can the theater be located at? (Please enter max) *
Your answer
What is your email address? *
Your answer
What is your phone number? (Please don't list a landline but a phone number accepting texts.) *
Your answer
How many people would be included in your group? (Please give a number which includes both you, students and any and all attending educators) *
Your answer
Which showtime would fit best for your group? If multiple showtimes would work equally well, please select all. *
Required
What day would fit best for your group? If both days would work equally well, please select all. *
Required
Why do you believe it is important to show and teach "Schindler's List"? *
Your answer
Do you need to hear back by a certain day? (Leave blank if not)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.