Event Registration Form
Film Forum and Girls Write Now are proud to present a screening of Memory Box, "an inventive multi-media, multi-generational drama" directed by Joana Hadjithomas And Khalil Joreige. The first 50 Girls Write Now participants or alumni to register will receive a FREE ticket to the screening and all others will receive a discount code. "An intoxicating cocktail of recollections...and an ingenious blend of image and music…that allow our own experience to empathetically blend with those of the characters in a mix of imagination and reality." – Jay Weissberg, Variety
Event Start Time
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Are you woman-identifying, trans*, or gender-expansive?
Yes, I am woman-identifying, trans*, or gender-expansive
No, I am not
Are you 13 or over?
Yes, I am 13 or over
No, I am under the age of 13
This event is only open to mentees, mentors, and woman-identifying, trans*, or gender-expansive members of the public who are 13 or over. Please note you are not eligible to attend this event.
I understand I am not eligible to attend this event.
For reporting and planning purposes only (please reference the statement above). Please indicate how you describe yourself:
Black or African American
Hispanic or Latinx
Native American or Native Alaskan
Asian, Asian American
Pacific Islander, Native Hawaiian
Biracial, Multiracial, two or more races
Please indicate your age range:
For reporting and planning purposes only (please reference the statement above). Do you identify as LGBTQIA+?
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How did you hear about Girls Write Now?
I am a current mentor
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From a family member or friend
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From social media
Please enter the name of your company/organization (especially if
you are a corporate partner employee or member of a partner organization)
I am a:
I am a:
Corporate Partner Employee
I am a:
Prospective mentee (high school or college student interested in GWN programs)
Prospective mentor (adult interested in GWN programs)
Donor, Circle, or Board member
Corporate partner employee
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