Educatie Formulier

What is your preferred date?* ${ formErrors.get('date')}

Preferred time* ${ formErrors.get('time')}

Which class or classes are you bringing? Please include the grade and year.* ${ formErrors.get('class')}

Number of students.* ${ formErrors.get('participants')}

Number of chaperones.* ${ formErrors.get('mentors')}

Film choice* ${ formErrors.get('movie_choice')}

Can you explain your answer above?* ${ formErrors.get('movie_choice_notes')}

What’s the reason for the film screening?* ${ formErrors.get('movie_reason_notes')}

Every school screening includes a 5-minute introduction and a 5-minute discussion afterwards. Would you like a more in-depth screening? If so, please choose from the options below.

What’s the name of your school?* ${ formErrors.get('school')}

BRIN-number* ${ formErrors.get('brin_nr')}

Name contact person* ${ formErrors.get('contact')}

Contact person’s phone number?* ${ formErrors.get('phone')}

Contact person’s email?* ${ formErrors.get('email_address')}

How would you like to pay?*

${ formErrors.get('payment')}

Please fill in the financial details below ${ formErrors.get('financial_info')}