Memory and Legacy Form for Yom Hashoah 5772/2012
If you have any relatives who survived the Shoah and would like to share their story, please fill out the form below and then press submit.

Pictures would be very helpful in sharing your loved one's story. Since pictures cannot be attached to this form, please also attach 1 or 2 photographs that illustrate generational history and email these photos to yom.hashoah@frisch.org--write your First and Last Name and  "Memory and Legacy Yom Hoshoah" in the subject line. If you cannot scan these pictures for emailing, please bring them into the Academic Office in an envelope marked with your first and last name and the title "Memory and Legacy Yom Hoshoah".
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Student First Name *
Student Last Name *
Student Grade *
Other children in the school (if applicable)
List the name and grades below for other children you have in the school.
What are the name(s) of Holocaust‐survivor forebears? Please describe your family relationship with them. *
Where did your forebears come from—town and country? *
What was their schooling and/or occupation before the war years? *
What was the wartime experience of your forebears? *
In what year did your forebears come to the U.S.? Where did they settle and why? *
Reminder
After you submit this form, please attach 1‐2 photographs that illustrate generational history to an email to yom.hashoah@frisch.org.  In the subject line, write your First and Last Name and  "Memory and Legacy Yom Hoshoah". If you cannot scan these pictures for emailing, please bring them to the Academic Office in an envelope marked with your first and last name and the title "Memory and Legacy Yom Hoshoah". Label your pictures clearly so that we may return your family photos when the exhibit is over.
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