Registration Form: 
Black and Indigenous Realities in Canada

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Hello!

We're delighted that your school is interested in participating in our Anti-Racism programme on National Canadian Film Day. 

If you have any questions, please don't hesitate to write to contactus@reelcanada.ca We're happy to correspond over email, or to set up a phone call to speak at your earliest convenience.  
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Si vous préférez obtenir cette information et communiquer avec nous en français, veuillez s'il-vous-plaît envoyer un courriel à contactus@reelcanada.ca et nous vous répondrons sous peu. 












This discussion corresponds with two films: Mighty Jerome and Rustic Oracle. Students should view the films (provided by REEL CANADA) within 1-2 weeks prior to watching the filmmaker discussion.



Please review this Content Advisory for Mighty Jerome and then respond accordingly:


Please review this Content Advisory for Rustic Oracle and then respond accordingly: 

Because Rustic Oracle addresses mature themes related to related to violence against women, we recommend previewing the film in order to determine whether it is suitable for your particular group of Grade 9 students. 





For Returning Teachers

If you already participated in either of the first two livestreams earlier this school year, and would like to screen them for a new cohort of students, please write to contactus@reelcanada.ca to request a new link to the film(s). Please be sure to specify:
 
- Which livestream(s) and film(s) you'd like access to

- What date you'd like to activate the film streaming links (valid for seven days each) 

- How many students would be participating 

- Your school name 

* Everyone who registers for any component of the programme, including the April 21 livestream, will receive a lesson plan package as well as resources to help you guide a discussion of sensitive content with your students. 




This discussion corresponds with the short documentary The Skin We're In. Students should view the film within one week prior to watching the filmmaker discussion.

While the discussion will be available for viewing indefinitely, the corresponding film (The Skin We're In) can only be provided for 7 days, via time-limited streaming link. 








This discussion corresponds with an episode of the documentary series Rise. Students should view the film within one week prior to watching the filmmaker discussion.

While the discussion will be available for viewing indefinitely, the corresponding film (Rise: Red Power) can only be provided for 7 days, via time-limited streaming link. 















The April 21 livestream session corresponds with two films (Mighty Jerome and Rustic Oracle), and teachers should screen the films (provided by REEL CANADA) for their students within 1-2 weeks prior to the corresponding filmmaker discussion/livestream. 

During the COVID-19 pandemic, we are pleased to provide streaming links in lieu of our regular DVDs. This allows for maximum flexibility if your class is currently learning from home, or if your school or any of your students experiences a sudden shift to learning from home.

You may share these links directly with your students to watch at home, but the links cannot be shared outside of your own virtual classroom or school. These links are for educational purposes only.

If you are planning to watch the film in a classroom setting with your students, you can use that same streaming link, and a projector, to show the film at the front of the class. 

For those schools where internet broadband strength is an issue, we will also be providing a lower-resolution version of the films, which should make streaming more stable. 

We also have a small number of DVD copies reserved for those schools where even a lower-resolution streaming link will not work properly. 


In addition to your DVD, we will also provide a streaming link as a precautionary measure, in case your school or some of your students are suddenly shifted to learning from home. As such, we would ask you to please sign off on the confirmation below.

We will contact you for technical assistance, but in the meantime, we would still ask you to please sign off on the confirmation statement below. Even if we determine that you qualify to receive a DVD, we will also provide a streaming link as a precautionary measure, in case your school or some of your students are suddenly shifted to learning from home. Therefore, we require this confirmation regardless.  

Hidden Fields












Example: (555) 555-5555 x1234

For urgent situations only, just in case it's difficult to reach you at the school number above. 









DVD Mailing Address







Demographic Information


It's a condition of our funding from the federal government that we ask the following demographic questions, in order to ensure we're reaching diverse audiences. This information allows us to continue offering our programme completely free of charge! Please rest assured that the demographic information will only be reported in aggregate, along with percentage data from the hundreds of schools we serve each year. 

If you don't know exact percentages, that's absolutely fine - rough estimates are perfectly acceptable.  
Age

 
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Language

What language(s) do your students speak AT HOME? 

 
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Gender

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The Ministry of Canadian Heritage defines this as "An individual other than an Indigenous person, who is non-Caucasian in race or non-white in colour."

 
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The Ministry of Canadian Heritage defines this as "Persons who have difficulties with daily living activities, or who have a physical, mental condition or health problem reducing the kind or amount of activities they can do."
IMPORTANT

Event/Screening Information

It's okay if you don't have all the answers yet — fill out what you can!





To order more than one film, simply press "add another film" below, and another set of questions will appear. 


For film descriptions and trailers, please visit: reelcanada.ca/our-film-catalogues

For recommendations, or if you’re not sure whether the films you're interested in will be right for your students and require more information, please write to contactus@reelcanada.ca. Be sure to include your students' grade level, any general interests you'd like to address, and any concerns or questions you might have.




Please select the type of school where you teach above, and the corresponding list of films will appear below for you to make your order.  
Which film(s) would you like to borrow? 



Please Note: This film includes mature content which could be difficult for some students. Please see the next page of this form for a detailed content advisory and special sign-off required to screen this film. 


Links will be active for 7 days starting on the date below. The link will be sent to you either that morning, or the evening before.


End date highlighted in red on the calendar



Thank you so much for your time! We're looking forward to a great event!


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