Programs and Events
Teacher Workshop Registration

Registration


Name of Workshop:

Your First and Last Name:  

School:

Address/Delivery Address:


City:  State:  Zip:

Phone:

Is this your School or Home Address/Phone?:
E-mail address:      

You are a... If other, please describe:


If you are a teacher, what subject and grade do you teach?


How did you hear about this program?


SUBMIT FORM & PAYMENT

To complete your registration, please hit send below.  After you have submitted this form, return to this page to pay your registration fee online.  Or, please mail a check.  Your registration will be confirmed once payment has been received. 

 

PAYMENT OPTIONS:

1. Pay online - quick, easy, and secure. First, hit the "send" button below to submit this form.  Then return to this page and click the "pay now" button.

2. Mail a check for $20 to:
Holocaust Center
Attn: (name of teacher workshop)
2031 Third Ave. Seattle, WA 98121

Please make the check out to "Holocaust Center."
Please include the name of the workshop on your check.
A confirmation email will be sent to you.