Host a Screening

Host a Screening of Bullied to Silence and be part of the village that provides the bullied a powerful voice, empower youth to believe in themselves and support their development to be happy and healthy and be the change. Gain tools to stop verbal and cyber­‐bullying by addressing the needs of the bullied and the bully while creating a strong support network for bystanders, parents, teachers and staff.

Bullied to Silence Poster

US / 2012 / Documentary / 87 minutes / HDCam, DigiBeta, BetaSP, Blu-Ray, DVD

Screening Request Form.

Interested in hosting a screening? Complete the form below to start the process. A member of the Bullied to Silence team will then contact you with details on options for either hosting a free screening and raising money for your organization, or pricing for licensing the film if you prefer not to have a fundraiser. You choose what works best for you! Thank you for being the change to stop verbal and cyber bullying.

Need some time to figure out the details, or want to coordinate with other members of your organization first?

We offer a downloadable info packet and paper form that you can share with others and fill out before returning here to submit the form electronically.
Download Screening Request Info Packet Now »

Ready to Proceed? Just fill out the form below!

Requested Dates and Playback Media

Please select the date(s) that you would like to show the film. If you are unsure of exact date(s), please approximate.

If you'd like to request additional dates, please list them in the comments below.

Please select the kind of playback media (e.g. DVD, Blu-Ray) that you would like.
Organization Information
Organizer Contact Information

Please include phone extension, if any.

Once you answer the next two questions, you'll be presented with a few additional questions specific to your kind of organization and plans. You'll then be able to submit the form.

Venue Information
Showing Information
Location Information
Audience Information

Please provide approximate estimates for expected total audience sizes.

Please provide approximate estimates of expected total audience size.

Other Information

Please enter the words you see in the box, in order and separated by a space. Doing so helps prevent automated programs from submitting spam.

If you are not sure what the words are, either enter your best guess or click the reload button next to the distorted words.