Weight of the Nation Community Screening Registration
*
1
. First Name
First Name
*
2
. Last Name
Last Name
*
3
. Email
Email
4
. Phone number
Phone number
*
5
. Will you attend the March 6, 2013 screening of Weight of the Nation (Consequences)?
Will you attend the March 6, 2013 screening of Weight of the Nation (Consequences)?
Yes
No
Maybe
*
6
. Will you attend the March 13 screening of Weight of the Nation (Choices)?
Will you attend the March 13 screening of Weight of the Nation (Choices)?
Yes
No
Maybe
*
7
. Will you attend the March 20 screening of Weight of the Nation (Children in Crisis)?
Will you attend the March 20 screening of Weight of the Nation (Children in Crisis)?
Yes
No
Maybe
*
8
. Will you attend the March 27 screening of Weight of the Nation (Challenges)?
Will you attend the March 27 screening of Weight of the Nation (Challenges)?
Yes
No
Maybe
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