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About The Issue The Makers Director's Statement

Home The Film About The Issue The Makers Director's Statement Screenings Host a program Educational Sales Press Partners Resources Contact

An Award-Winning Documentary Short

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Host a Program

Please complete this form if you are interested in hosting a program.

More questions? Please email caregiver@reelmedicinemedia.org

Contact Name

Organization Name *

Email *

Organization Type

Hospice

University/College

Faith-based

Community Group

Public Library

Theater or Film Series

Foundation

Governmental group

Phone

(###)

###

####

Preferred Format *

Film Screening and Keynote Address

Film Screening & Fireside Chat

Stand-Alone Film Screening

Film Screening and Lecture for Healthcare Teams

Film Screening and Lecture for Family Caregivers

Other

How are you planning to hold this event?

Virtual event

In person event

Event Date

MM

DD

YYYY

Are you interested in booking the director and/or other speakers from the film? *

Yes

No

Estimated Audience Size

Less than 25

25-75

75-150

Over 150

Anything else you want us to know about your plans?

Thank you!