Face to Face Holocaust Education Program Field-Trip Registration Form 2018-2019 School-Year
Face to Face at Congregation Shaarey Tikvah ***26811 Fairmount Boulevard ***Beachwood, OH 44120
(216)765.8300.ext.140*** http://www.shaareytikvah.org/face-to-face

Please fill out a separate form for each date requested.
This form must be filled in and submitted in order to complete your class’s field trip to the FACE TO FACE Holocaust education program . Thank you in advance for your cooperation.

Email address *
A Holocaust Education Program at Congregation Shaarey Tikvah
Name of School *
Your answer
School Street Address *
Your answer
School City
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School Zipcode
Your answer
School Phone # *
Your answer
School contact *
Your answer
Contact Teacher Name (can be the same as the school contact person) *
Your answer
Contact Teacher Email Address *
Your answer
Cell phone number for day of trip
Your answer
Number of Face to Face session dates you are requesting? Please fill out a separate registration form for each session date. *
Grade Level(s) of Students Attending *
Your answer
Subject(s)Taught by Contact Teacher
Your answer
Approximate # of Students? *
Your answer
Approximate # of Teachers? *
Your answer
Names of Teachers who will be attending F2F *
Your answer
Approximate # of Non-Teacher Adults Attending *
Your answer
Expected Time of Arrival ? The program normally starts at 9:30 am We need to be notified in advance if your expected time of arrival is different than the normal Face to Face schedule. -- *
Your answer
Expected time of departure? The program normally runs until 12:30 pm. We need to be notified in advance if your expected time of departure is different than the normal Face to Face schedule. *
Your answer
What preparation will the students have completed prior to the field-trip? *
Your answer
Date(s) Requested (available dates are listed in your cover email or can be obtained by contacting face2face@shaareytikvah.org or 216.765-8300,ext.140). Please list what month(s) you prefer and please provide your first, second, and third choice of dates. (If you registered during the early bird period please just indicate that and list the date(s) for which you are registered.)
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For your convenience, the student educational booklet is available online through our website at http://www.shaareytikvah.org/assets/cms/uploads/Educational_Booklet_2018_Revised.pdf To see the booklet, you may click on the link directly or you can copy and paste the link into your browser. Please indicate the format in which you would like your students to receive the Face to Face educational booklet. *
Face to Face now has the option of 2 Holocaust slide presentations. The HOLOCAUST OVERVIEW (approx.. 30 minutes): is recommended for students who have not yet, or who have recently begun their Holocaust studies and need a deeper understanding of the terminology, causes and background of the Holocaust; or for teachers who want their students to have a review of the Holocaust material. ************************************************************************************************************************************ USING PHOTOGRAPHS TO LEARN ABOUT THE HOLOCAUST (approx.. 20 minutes): - is recommended for students who have completed, or are near completion of their Holocaust studies, and have a thorough understanding of the terminology, causes and background of the Holocaust. It looks at photographs taken by Jews, journalists, Nazis and liberators and explores the questions students should consider when viewing photos from that period. Which presentation would you want to be presented to your students? *
Comments-Please tell us anything else you think we would need to know to provide a good educational experience for your students.
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