Educational Screening Request
* Required
Email address
*
Your email
Name:
Your answer
Name of your Organization
Your answer
Type of Organization
Elementary school
Secondary school
School board or private school association
Home school association
Post-secondary school
Library, museum, science centre
Other:
Screening Context
Curriculum-related screening (in the classroom)
Club, group or association FREE event (outside the classroom)
Club, group or association FUNDRAISING event by donation or ticketing
Community event
Library access only (for loan to members, students, teachers)
Organization Website
Your answer
Tell us about your Screening Objectives
What format would you like to receive the film?
Choose
BluRay Video Disc
Secure Online Screener
Digital Cinema Package (DCP)
Not Sure
Screening Venue
Your answer
Street Address:
Your answer
Postal Code / Zip Code
Your answer
City
Your answer
Province/State
Your answer
Country
Your answer
Number of Viewings
single viewing at a single address
multiple viewings at a single address
multiple viewings at multiple addresses
Estimated Attendance
0 - 40
41 - 100
101 - 200
201 +
Are you interested in:
Film Poster
School Education Package
Hosting a video conference with the filmmaker
Inviting a film representative to your school (travel costs may apply)
Other:
Anything else you wish to tell us?
Your answer
A copy of your responses will be emailed to the address you provided.
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