Additional information
# of Students:Required
# of Teachers/Chaperones:Required
Please enter the School Name and School Address where invoices should be sent. *If you are a non-paying school, you will not be sent an invoice.
School Name/Address: NameRequired
Address:Required
City:
CountryRequired Please Select Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azores Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islnd Brunei Darussalam Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Canal Zone Canary Islands Cape Verde Cayman Islands Central African Rep Chad Channel Islands Chile China Colombia Comoros Confed of Senegambia Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Czechoslovakia Dahomey Denmark Djibouti Dm People's Rp Korea Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Falkland Islands Fed Rep of Germany Federated States of Micronesia Fiji Finland France French Guiana French Polynesia Gabon Georgia Germany Ghana Gibraltar Gilbert & Ellice Is Greece Greenland Grenada Guadaloupe Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle Of Man Israel Italy Ivory Coast Jamaica Japan Jordan Kampuchea Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Moldova Monaco Mongolia Montenegro Montserrat Island Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles Nevis New Caledonia New Guinea New Hebrides New Zealand Nicaragua Niger Nigeria Niue North Korea Northern Ireland, UK Norway Okinawa Oman Pacific Islands Pakistan Palau Panama Papua New Guinea Paraguay People's Dm Rp Yemen People's Rp of China Peru Philippines Pitcairn Poland Portugal Portuguese Guinea Qatar Republic of Korea Republic of Maldives Republic of the Congo Reunion Islands Romania Russia Rwanda Ryukyu Islands Saint Lucia Samoa San Marino Sao Tome & Principe Saudi Arabia Scotland Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka St Martin St Vincent & Grenad St. Kitts and Nevis Sudan Suriname Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand The Bahamas The Gambia Tibet Timor Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Upper Volta Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wales Western Samoa Yemen Arab Republic Yugoslavia Zaire Zambia Zimbabwe
State/Prov: Please Select Aberdeenshire Alabama Alaska Alberta American Embassy American Embassy American Samoa Angus Argyll Arizona Arkansas Armed Forces Australian Antarctic Territory Australian Capital Territory Avon Ayrshire Banffshire Bedfordshire Berkshire Berwickshire British Columbia Buckinghamshire Caithness California Cambridgeshire Channel Islands Cheshire Clackmannanshire Cleveland Clwyd Colorado Connecticut Cornwall County Antrim County Armagh County Down County Durham County Fermanagh County Londonderry County Tyrone Cumbria D.C. Delaware Derbyshire Devon Dorset Dumfriesshire Dunbartonshire Dyfed East Lothian East Sussex Essex Fife Florida Georgia Gloucestershire Guam Gwent Gwynedd Hampshire Hawaii Herefordshire Hertfordshire Idaho Illinois Indiana Inverness-Shire Iowa Isle Of Lewis Isle Of Skye Isle Of Wight Kansas Kent Kentucky Kincardineshire Kirkcudbrightshire Lanarkshire Lancashire Leicestershire Lincolnshire Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Merseyside Michigan Michoacan Micronesia Mid Glamorgan Middlesex Midlothian Minnesota Mississippi Missouri Montana Morayshire Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New South Wales New York Newfoundland and Labrador Norfolk North Carolina North Dakota North Humberside North Yorkshire Northamptonshire Northern Mariana Is. Northern Territory Northumberland Northwest Territory Nottinghamshire Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Orkney Oxfordshire Palau Peeblesshire Pennsylvania Perthshire Powys Prince Edward Island Puerto Rico Quebec Queensland Renfrewshire Rhode Island Ross-Shire Roxburghshire Saskatchewan Selkirkshire Shropshire Somerset South Australia South Carolina South Dakota South Glamorgan South Humberside South Yorkshire Staffordshire Stirlingshire Suffolk Surrey Sutherland Tasmania Tennessee Texas Trust Territories Tyne And Wear Unknown Utah Vermont Victoria Virgin Islands Virginia Warwickshire Washington West Glamorgan West Lothian West Midlands West Sussex West Virginia West Yorkshire Western Australia Wigtownshire Wiltshire Wisconsin Worcestershire Wyoming Yorkshire Yukon
Postal Code:
School Phone:Required
Primary Teacher Name:Required
Primary Teacher Email:Required
Primary Teacher Phone:Required
The JBFC is committed to supporting a majority of under-resourced schools. If you qualify, please check the box below. Our organization recognizes a school as under-resourced if a minimum of 35% of students qualify for free or reduced lunch. The JBFC will also cover the cost of one bus per experience for under-resourced schools.
Is your school under-resourced?Required
Grade Level:Required
Subject:Required
Please list the name of additional teachers joining the post-film discussion.
Additional Teachers:
Are there any accessibility needs for your group? (Accessible seating, visual or hearing device needs, etc.)
Accessibility Needs:
Please tell us in a few sentences what you hope your students will learn from the film and follow-up discussion.
Anything else we should know? Include any questions or concerns you may have.
Other Information
I have reviewed and agree to the above policies.Required
