Yom Hashoah: Holocaust Remembrance Day Community Program
Thursday, April 8, 2021 | 12pm-1pm (PT); 2pm (CT); 3pm (ET)

A Zoom link will be provided after you submit this registration form.
Sign in to Google to save your progress. Learn more
Email *
Would you like to be notified of future events with the Holocaust Center for Humanity? *
Last Name: *
First Name: *
Phone Number (optional):
Is this your first time attending a program through the Holocaust Center for Humanity? *
How did you hear about this program? (check all that apply) *
Required
Are you a (check all that apply):
Is there someone you would like to honor or remember  at this program? If so, please consider including their name so that we may recognize them at the program.  (We cannot guarantee that names submitted after 5pm on April 6 will be listed in the program. Thank you for your understanding.)
Is there anything else you would like us to know?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Holocaust Center for Humanity.

Does this form look suspicious? Report

Google Forms