Schedule a Screening

Name*

First Last

Email*

Phone*

Organization / Affiliation / School Name*

How did you hear about the film?*

City*

State/Province*

Country*

Desired Date of Screening*

Anticipated Audience Size*

Venue (If you aren't sure, simply type TBD)*

Are you charging for tickets?*

Yes
No
Not sure yet

Is your event a fundraiser*

Yes
No
Not sure yet

Is the screening open to the public?*

Yes
No
Not sure yet

Do you plan to advertise the event? If so, how?*

Are you interested in inviting Director Jon Brick, Mothers In Charges' Rosilyn Temple or Captain Tim Hernandez and/or other members of the Kansas City, MO Police Department to speak at your event? (Please note, travel, accommodations and a speaking fee are required. We will send you the details if you are interested.)*

Yes
No
Maybe

Is there anything else you would like to tell us about your event?