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Screening Submission Form
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* Indicates required question
Sponsoring Organization
Organization or lead sponsor of the screening
Your answer
Type of Organization
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Individual
Community Group
Not-For-Profit
Film Festival
Business
Conference
Equine Organization
Environmental Organization
Educational Institution
Senior Group
Religious Institution
Indigenous Group
Contact First Name
*
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Last Name
*
Your answer
Phone Number
*
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Email
*
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Event Name
Series, conference name, if applicable.
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Type of Event
Community, Festival, Special Event, Conference, Theatrical, etc.
Your answer
Will you be hosting this screening for a specific holiday, International Equine Day, Earth Day, etc?
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Screening Date & Time
MM
/
DD
/
YYYY
Time
:
AM
PM
Ticket Price
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Screening Location
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Screening Address
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Screening City
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Screening State
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Screening Zipcode
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Would you like us to list this event on our website?
Yes
No
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Number of Guests (estimate)
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Performance Options
*
This will be a free event
I would like to charge admission
I don't have firm plans yet, but would like to find out more
This will be a fundraiser
Number of Public Screenings
Your answer
I would like to invite the filmmakers to speak at our event
Yes
No
Clear selection
Screening Ideas
Please share any screening ideas or questions you have.
Your answer
What is 7 plus 3?
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