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2025 Conference Registration Form

"*" indicates required fields

Registration deadline is August 31, 2025. You can cancel your registration before the deadline for a processing fee of $25.00. Registration is non-refundable after August 31, 2025, with no exceptions.

Participant Name*

Only one person can register at a time. If you would like to register more than one participant, please first submit this form for yourself and then complete a new form for each additional participant. After your payment is accepted, you will get access to the hotel reservation link.

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Mobile Phone*

Country of Birth*

Countries of Family Origin*

Year of Birth*

Original OR Maiden Name

What languages do you speak?

I will be attending the Full conference - includes all meals, activities, and Friday night dinner:

Yes - $495 USD

I will attend Saturday only - includes Saturday lunch and dinner and all activities

Yes - $175 USD

I will attend Sunday only - includes Sunday lunch and dinner and all activities

Yes - $175 USD

I will attend the Friday night dinner only:

Yes - $160 USD

Food Requirements

Kosher

Vegetarian

Gluten free

Dairy free

Food allergies

Specify allergies:

Please specify ONLY major food allergies:

Member of (check all that apply):

World Federation of Jewish Holocaust Survivors and Descendants

GSI

KTA

About Yourself {check all that apply):*

Survivor

Kindertransport

Second Generation

Third Generation

Fourth Generation

Non-survivor spouse/partner

Other (specify)

If other:

Have you attended WFJHS&D Conferences before?*

Yes

No

Are you staying at the hotel?*

Yes

No

Are you interested in pre- and after the conference local tours?

09/11, Drancy, by bus

09/15, Jewish Paris and Holocaust Memorial

Need a roommate?

(If you would like to share accommodations with another conference attendee, please request a roommate form, which we will share with others interested in sharing).

Yes

No

Are you a presenter, moderator or workshop leader?*

If yes, we will email to you a separate form to list your AV and setup requirements. Please return it by August 1, 2025.

Yes

No

This field is hidden when viewing the form

*

Would you like to be listed in the Attendees’ Book?*

(The book includes names, addresses, telephone numbers, and email addresses)

Yes

No

Emergency Contact - Name*

Emergency Contact - Phone*

Payment Information

Optional Donation to the Steven Adler Fund

(Provides financial support for conference attendance)

All transactions include 3% credit card processing fee.

Price: $0.00

Total

Payment Method*

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

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