Virtual Field Trips for Students

 

After this request form is completed and returned we will contact you to confirm your Virtual Field Trip.

  Contact Information

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Name:

 

 

   

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City/State/ZIP:

 

    

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If you respond and have not already registered, you will receive periodic updates and communications from Simon Wiesenthal Center.


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Question - Required - Preferred Date 1:




 
Question - Not Required - Preferred Date 2:




 
Question - Not Required - Preferred Date 3:




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Question - Required - Select the modules you are interested in booking:
Please make at least 1 selection from the choices below.

 

The fee for the Virtual Field Trips is $150.00 per module for a class of 25-30. Payment can be made by check, Visa, Mastercard, and American Express.


Limited grant funds are available, please contact us for details


This form is only to request a Virtual Field Trip and is not a confirmation of your program.


We will send you confirmation materials upon review of your application. If you do not hear from us please contact mlynn@wiesenthal.com to confirm that your application was submitted.


For additional information and questions please call (310) 772-7639 or e-mail mlynn@wiesenthal.com.

   Please leave this field empty