Name *

First Name

Last Name

RSVP *

by checking this box, I agree to attend the following Qhia Dab Neeg FIlm Screening,

Sunday, September 14th 1PM

Image Release Agreement

By checking the box below I acknowledge that digital documentation may take place and give my permission for my image to be shared publicly on In Progress's social media sites.

I agree

There are circumstances I will speak to the host about prior to the event.