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Registration form for special performances

You can book special screenings under the following conditions. Admission is 5.00 euros per student. Two chaperones per class are admitted free of charge; more may be allowed if additional supervision is required.

Mandatory fields are marked with *.

Registration form

Name Contact person*

Name and address of the school/daycare center or other educational institution*

Telephone number (business)*

Telephone number (mobile)

E-mail address*

Your desired movie

Language version of the movie

Date and time requests

Grade/year*

Number of students (Please note our conditions above in the introductory text.)*

Number of accompanying persons (2x free of charge per class)*

Do you prepare the movie in class or afterwards?

yes, a little

yes, intensive

with accompanying educational material

without accompanying educational material

rather less

still unclear

May we send you any accompanying materials (if available) by email?

Are you interested in a film discussion, if one is offered (approx. 30 minutes directly after the screening)?

Remarks

Data protection

I agree that the required data will be collected and used for the purpose of processing my request. All entries in forms are transmitted via SSL (Secure Sockets Layer) with 256-bit encryption. The data protection provisions of Privacy Policy | City of Wiesbaden apply*

* Mandatory field

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