Kol Israel Foundation's Holocaust Education Program Registration: 2022-2023 School-Year

This form must be completed in its entirety to submit your class’s request for the FACE TO FACE® Holocaust education program. Thank you in advance for your cooperation.

**Face to Face® Educational Booklet: Please note that a hard copy of the booklet is no longer provided at the field trip. To access, please download a copy from the following link:
Face to Face Educational Booklet

For fieldtrips to the synagogue: Masks are encouraged but not required.

There is some flexibility with times; please make requests in comment section.

Field Trip: Tuesdays and Thursdays, 9:00-12:00.

In-classroom presentation: Mondays and Wednesdays; times are flexible.

Virtual presentation: Mondays and Wednesdays; times are flexible.

Date Requested

YYYY

School Information

School Name

School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School Phone

(###)

###

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Contact Information

Contact Teacher Name

First Name

Last Name

Contact Teacher Email

Cell phone number for day of trip

(###)

###

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Subject(s) Taught by Contact Teacher

Attendee Information

Grade Level(s) of Students Participating

Approximate # of Students?

Approximate # of Teachers?

Names of Teachers who will be attending F2F

Approximate # of Non-Teacher Adults Participating

Time-Program to Begin

Hour

Minute

Second

Time-Program to End

Hour

Minute

Second

What preparation will the students have completed prior to the program?

Comments

Please tell us anything else you think we would need to know to provide a good educational experience for your students.

Time

Hour

Minute

Second