Information Request
Today's Date: ________________________________________________________________________________________________
Name: ____________________________________________________________________________________________________
School, Organization or Film Festival: ____________________________________________________________________________
Street Address: ____________________________________________________________________________________________
City, State, Zip: ____________________________________________________________________________________________
Telephone: ________________________________________________________________________________________________
Fax: ________________________________________________________________________________________________________
Email: ______________________________________________________________________________________________________
Website: _________________________________________________________________________________________________
Which program would you like to host? __________________________________________________________________________
Tentative Date(s): ___________________________________________________________________________________________
Tentative Times: ___________________________________________________________________________________________
Location: ________________________________________________________________________________________________
How many participants do you expect? ___________________________________________________________________________
What are their ages? ________________________________________________________________________________________
How will you publicize your workshop? _________________________________________________________________________
Will you be charging admission? ______________________________________________________________________________
Are you a nonprofit 501(c)(3) organization? ______________________________________________________________________
Do you have a VCR and monitor in satisfactory condition? ___________________________________________________________
Do you have computers? ____________________________________________________________________________________
How did you hear about KID FILMMAKERS? ____________________________________________________________________