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AscenDance Screening Request Form
Thank you for your interest in organizing a screening of Alice Street! We’re grateful for your support and excited to work with you.
If you’re not interested in hosting a screening but would like to know when a film is playing near you, please visit our AscenDance page at
www.alicestreetfilm.com
.
For additional inquiries regarding seeing/showing one of our films, please contact us at
alicestreetfilm@gmail.com
.
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First Name
*
Your answer
Last Name
*
Your answer
Your Phone Number
Your answer
Your email
*
Your answer
Who are you?
Educator/School/University
Library
Theater
Film Festival
Museum
Non-profit/community organization
Public Media
Religious center/organization
Cultural center
Artist
Other:
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Name of your Organization/Festival/Museum etc.
*
Your answer
City
Your answer
State (2 letter abbreviation)
Your answer
Zip code
Your answer
Potential Date/Time:
*
MM
/
DD
/
YYYY
Screening Window? (i.e. 3 days streaming, a specific date range, etc.)
*
Your answer
Do you plan to charge admission?
*
Yes
No
Anticipated number of audience members
*
Your answer
Will the screening be virtual or in-person?
*
Virtual
In-Person
Please let us know if you are interested in the following?
*
Filmmaker Q & A
Panel Discussion
Curriculum for Middle School, High school and/or College classes
Live Performance
Creative Engagement Oriented Activity
Other:
Required
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