Field Trip Request Form 2025-2026 – Holocaust Center for Humanity

Holocaust Center for Humanity Field Trip

Request Form 2025-2026
Thank you for your interest in a Field Trip to the Holocaust Center for Humanity!

Before filling out this form, please review our
FAQs & Field Trip Policies
CONTRACT: The teacher named agrees to each of the following policies and requirements. Please check each box to indicate that you have read this contract and agree to each of these terms.

I agree that students will have foundational lessons about the Holocaust prior to their visit, and that a field trip WILL NOT serve as their first introduction to the topic.I agree to manage my students during the duration of the field trip.I understand that field trips are a minimum of 90 minutes in length and can accommodate a maximum of 35 students.I agree to pay a flat fee of $200, which includes a security charge.I am requesting this field trip at least three weeks in advance.I agree that students will not bring backpacks/large bags inside.I understand that weapons of any kind, including pocket knives and pepper spray, are absolutely prohibited from entering the Center.I understand that the Center does not have space for students to eat lunch.
Name:*

First NameLast Name
I am a:*

TeacherParentOrganizerOther
What type of group are you?
Please select the option that best describes your group.
School District:*
Full Name of School/Organization:*
School/Organization Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Best email to reach you:*
Best phone number to reach you:*
Type of phone number:*

MobileSchoolHomeOther
Number of student participants:*
Number of teacher participants (no need to count chaperones):*
Grade Level of Students (Select all that apply):*

Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12College/UniversityGraduateAdult
Class Subject:*

English/Language ArtsHistory/Social StudiesHolocaust/Genocide StudiesJewish EducationElementaryOther
Have you requested an HCH field trip before (Check all that apply)?*

Yes, I have requested a field trip at the museumYes, I have requested a field trip virtuallyNo, I have not requested a field tripOther
MANDATORY FOUNDATIONAL LESSONS
students MUST engage in the following prior to your visit to the Center
NOTE: we reserve the right to postpone visit until exposure (as outlined below) has been provided.

MIDDLE SCHOOL, or younger:
Facing History's Intro to the Holocaust lesson
Prewar Jewish Life lesson
Survivor Voices (watch)

HIGH SCHOOL:
Prewar Jewish Life lesson
Path to Nazi Genocide (including reflection activity DURING film)
Survivor Voices (watch)

strongly advised:
Pyramid of Hate lesson
Universe of Obligation lesson
Historical Roots of Antisemitism lesson
Exploring Identity lesson

Want help in how to teach or prioritize any of these required lessons? Please contact our Teaching & Learning Specialist, Branda Anderson, at Branda@HolocaustCenterSeattle.org
What do you expect your group’s level of Holocaust knowledge will be prior to the requested field trip date?*

Basic exposure (Survivor Voices, Path to Nazi Genocide, introductory lessons like Exploring Identity, Pyramid of Hate, and/or Universe of Obligation).Moderate exposure (topics such as pre-war European Jewish life, timeline of the Holocaust, Holocaust literature).In-depth exposure (completing lessons on key historical events such as the Rise of National Socialism, ghettos, camps, resistance, or liberation).
Please list the Holocaust-related books, and/or other relevant lessons your students will engage in prior to their field trip:*
Comments, accessibilities, questions, or other special considerations about your group?*
Would you like to increase the duration of the field trip experience? (separate from speaker inclusion)*

Standard time: 90 min (standard activity)Extended time: 120 min (in-depth experience)
Would you like to add-on a speaker presentation for an additional 60 minutes? (Note: this would make the field trip experience a minimum of 2.5 hours in length.)*

YesNo
To note: If you would like a speaker presentation, please ensure you fill out a separate Speaker Request Form (this link will open a new tab).
Please suggest at least two days and times that work best for you, keeping in mind a Field Trip is minimally 90 minutes in length:*

MonthDayYear
Date
Start time:*

Hour Minutes

AM/PM Option
Please choose a second date:*

MonthDayYear
Date
Start time:*

Hour Minutes

AM/PM Option
(Optional) Please choose a third date that works for you:

MonthDayYear
Date
Start time:

Hour Minutes

AM/PM Option
How did you hear about the Holocaust Center?*

Previous engagementOnline searchSocial MediaWord of mouthOther
Please fill out the information below regarding the $200 fee:
Name of person being invoiced:*

First NameLast Name
Preferred invoice method:*

EmailMail
Email of person being invoiced:*
example@example.com
Mailing address of person being invoiced:*
Further Questions? Please contact our Museum Educator, Charlotte Campbell Charlotte@HolocaustCenterSeattle.org

If you are interested in a scholarship for admission fee or bus transport, contact Cheryl@HolocaustCenterSeattle.org
Should be Empty:

Holocaust Center for Humanity Field Trip