Book a Presentation

Carrying Holocaust Testimony Presentation Request & Confirmation Form

Thank you for your interest in a Carrying Holocaust Testimony Presentation. Please complete the form below to begin the booking process. If you have any questions, please contact:

Michelle Glied-Goldstein
Phone: 416-918-8484
Email: michelle@carryingtestimony.ca

Organization Information

Name of School/Organization *

Please enter your Name of School/Organization

School Board (if applicable)

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Contact Name *

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Title/Position

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Contact Email *

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Contact Phone *

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School/Organization Address *

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Location of Parking (for Presenter)

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Presentation Details

Location of Presentation (Classroom, Library, Auditorium, Gym, etc.)

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Preferred Dates and Times

Preferred Presentation Date #1 *

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Preferred Time for Date #1 *

Select Preferred Time for Date #1

Preferred Presentation Date #2

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Preferred Time for Date #2

Select Preferred Time for Date #2

Speaker Preferences

Preferred Speaker *

Select a Preferred Speaker

Preferred Speaker Option #2 (if any)

Please select Preferred Speaker Option #2

Audience Information

Grades Participating *

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Number of Students Participating *

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Number of Teachers/Staff Participating (if known)

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Number of Other Guests/Visitors Participating (if known)

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Technology & Room Requirements

Please confirm that the following will be available Screen Projector with HDMI Connection Microphone Speakers

Please choose an option for Please confirm that the following will be available

Additional Comments or Special Requests (please include Holocaust knowledge, timing restrictions, sensitivity considerations, accessibility needs, other relevant information)

Please enter your Additional Comments or Special Requests