Individual Registration

Please fill out the form below

1. Personal Details

First Name *

Last Name *

Email Address (please note, this will be our primary means of communication) *

Mobile phone number *

Date of Birth *

Please indicate your preferred pronouns. These will be added to your name badge.

I am a(n).. Please choose the most applicable answer to you. *

What year did you take part in this project? *

Please enter the following address details. If you have multiple addresses (e.g. university address), please select the one you spend the most time at.

Town/City *

Postcode *

Which region do you currently live in? *

Which region did you live in when you took part on this project? *

2. Emergency Information

Please list any dietary requirements you have. Lunch will be provided on the day. *

Please list any allergies or food intolerances you have *

Please list any prescribed medications you are currently taking and the condition it is prescribed for. This information will be kept strictly confidential and only used in emergencies. *

Please list any pre-existing or ongoing medical conditions (e.g. asthma, depression). This information will be kept strictly confidential and only used in emergencies. *

Emergency Contact 1 – Full Name *

Emergency Contact 1 – Relationship to participant *

Emergency Contact 1 – Mobile number *

Emergency Contact 2 – Full Name *

Emergency Contact 2 – Relationship to participant *

Emergency Contact 2 – Mobile number *

Have you attended an Ambassador Conference in the past? *

How did you hear about the Ambassador Conference 2024? *

Other - please specify

The Holocaust Educational Trust may take photos/video of Ambassadors at this event. These may be used in both print and online publications, the Trust’s website and on social media accounts. At times, such photographs and videos may be shared with the Trust’s partners, to promote our work. Only the first names of Ambassadors will be used in publication. All photographs and video will be securely stored by the Trust and deleted in line with our retention policy, details of which can be found here privacy policy. If you do not give your consent, we will take reasonable steps to ensure you are not photographed/videoed and will not use your image. If you do give your consent now but wish to withdraw this later, we will delete images held, but may be unable to recall these from all online and published materials. This permission is valid permanently from the date of providing consent. If you are under 18, you will be required to submit a consent form signed by a parent or guardian. This will be sent to you separately so please indicate below.

Please tick: *

I DO grant permission for the use of my photo/video

I DO NOT grand permission for the use of my photo/video

I will be under 18 on 2nd July 2024

Terms and Conditions *

I agree to the Lessons from Auschwitz Project privacy policy and Terms and Conditions terms and conditions.

I agree

Price

Coupon

Ticket Price

Your Discount

Total Cost

Payment Method

Paypal

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Security check*

Individual Registration

1. Personal Details

Please enter the following address details. If you have multiple addresses (e.g. university address), please select the one you spend the most time at.

2. Emergency Information

Price

UPCOMING EVENTS