The Upstanders Registration

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Please use this form to register for the live screening of The Upstanders on 12/9 from 6-8 pm.

Light refreshments and finger foods will be available.

Por favor use este formulario para registrarse para la proyección en vivo del filme The Upstanders el 9 de diciembre de 6 a 8 p.m. Se servirán refrigerios.

Email *

Full Name/ Nombre completo *

Number in party attending

Número de personas que asistirán

Do you or anyone in your family require accommodations? /¿Necesita alguien de su familia adaptaciones especiales? *

Yes/ Sí

Do you need an interpreter during the discussion after the film? /Necesita un intérprete durante la discusión después del filme?

American Sign Language

Spanish

Other language

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Child's School /Escuela de su hijo *

Send me a copy of my responses.

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