Registration Form for JOURNEYS BEYOND GENOCIDE: THE HUMAN EXPERIENCE
Please complete this form to the best of your ability. If you have any questions, please email contact@chhange.org or call 732-224-1889
Email address *
School Information
School Name *
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School Address *
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School Phone Number *
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School District/County *
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Class Information
Teacher's Name *
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Teacher's Email *
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Teacher's Phone Number *
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Grade Level *
Chhange welcomes students in grades 5 and above.
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Will a school nurse attend the field trip? *
Number of Students *
Maximum 50 visitors, minimum of 1 chaperone/25 students (please note chaperones are included in the maximum of 50 visitors)
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Number of Chaperones *
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Please describe the students' background knowledge on 20th century genocides. *
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Please address any special needs that need to be addressed by Chhange's docent team.
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Reservation Request
Reservations are available Monday through Thursday, beginning June 1, 2018. Reservations are currently available through June 2019. Tours take place at 9:00 am and 11:00 am.

Reservations should be received no later than 2 weeks prior to tour date.

Due to high demand some dates may not be available. We will do our utmost to accommodate one of the dates requested.

Please select your first choice date *
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Please select your second choice date *
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Please select your third choice date *
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Please select a time *
How did you hear about Chhange? Please be specific.
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What is the best way for Chhange to contact you?
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Additional comments, questions, or concerns.
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