you are interested in having the Children of the Camps Documentary
and Educational Project present a workshop, training or screening
to your group or community, please fill out the following form.
You may fill out this form online and send by clicking on the
submit button, or you can print it and send by fax or by U.S.
Requested date(s) of screening/workshop
(please list alternative dates in order of preference):
Proposed Time of screening/workshop:
Screening/workshop will be open to the public? (check if yes)
If open to the public, could we list this event on our Web site?
(check if yes)
For events not open to the public, may we publish the details
on our Web site after its over? (check if yes)
Event location (provide complete address):
Cost for attendance, if any:
Anticipated number of participants:
Audience profile (i.e., church members, college professors, mental
health providers, senior citizens, etc.):
Type of facilities available:
Number of breakout rooms available, if any:
Is TV and VCR or projection system available? (check if yes)
If yes, please describe:
- size of screen
- format of tape needed:
Would you like any of the following written materials to help
facilitate your outreach or publicity?
(check all that apply):
of the Camps brochure(s)
Community Education Workshops information
Video distribution/purchase information
Master flyer w/space for your organizations event
Any other comments or questions?