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Register Now - Auschwitz 2020 Trip

For issues or questions with the online registration form, please call CANDLES at 812.234.7881 or email

Online Trip Registration Form

Auschwitz 2020 Trip
Dates of Travel: June 27 - July 5, 2020


  • Send or Upload copy of your PASSPORT to CANDLES Holocaust Museum (upload options at end of form)
  • Send your $600 DEPOSIT (+ insurance premium if purchased) to CANDLES (payment options at end of form)

Auschwitz 2020 Trip Registration

This is a secure site.

Each individual should complete and return a separate registration form, a copy of your passport (if you are booking the "complete" trip package), and the nonrefundable $600 deposit (+ insurance premium if purchased). The deposit should be received by CANDLES within 10 days of online registration. The full payment balance is due no later than March 6, 2020 for all trip packages.

Those booking the "complete" trip package are required to submit a copy of the passport you will be traveling with to CANDLES no later than March 6, 2020.

Guidelines & Responsibilities
Pacing Statement
Registrant's Information
Registrant's Address and Other Contact Information

Those booking the "complete" trip package must provide CANDLES with a copy of the passport you are traveling with no later than March 6, 2020. Failure to submit your passport copy on time will result in penalty fees and may cause you to lose your guaranteed seat on the plane.

Phone Type
Phone Type
How did you hear about the trip? (Mark all that apply.)
Medical Form
Medical Form
Please indicate if you have/have had any of the following (select all that apply):
Do you take medications or drugs related to a pre-existing medical condition?
1. During the last year, have you suffered any significant illness, major surgeries, or procedures?
2. Do you have any physical limitations, handicaps, or prosthesis?
3. Do you have difficulty walking/standing or use a device for mobility assistance such as crutches, cane, wheelchair, or other devices?
4. Are you affected by any other pre-existing medical conditions not listed above?
Current Medications
No file selected
(Please include inhalers, EpiPens, etc.)
Health Statement
Emergency Contact
Personal Considerations
Do you have a food allergy?
Do you have an allergy to animals?
We make every effort to accommodate our guests, but we can only make special requests (beyond meat or vegetarian options) for food allergies and special circumstances.
Meeting Location on Departure Day
Facebook User
Do you use Facebook?
Hotel Accommodations
All rooms are non-smoking. All hotel accommodations are based on availability.
Independent Travel Arrangements:
Travel Plans
Complete this section ONLY if you are purchasing the "land" trip package.
I am traveling to Krakow via:

Summary of Services

Services or products related to travel are listed below. The choice of either the "complete" trip package or the "land" trip package is required. All other options are added at your discretion. A paperback copy of Surviving the Angel of Death and Auschwitz-Birkenau Memorial: A Guidebook are included with both packages.

Trip Package:
Optional Add-Ons:
*Please note: Indiana residents will be charged 7% sales tax on purchased items.
Trip Insurance

Trip insurance is HIGHLY recommended for your own protection and will not be provided unless you select the option for your age group. Trip insurance DOES NOT cover situations of political unrest or your cancellation due to unease with travel warnings.

Trip Insurance Terms
State Insurance Rates and Coverage
Trip Insurance
Important to note: For residents of MT, NY, KS, WA, MD, and PA, please use the state-specific insurance rates listed on the documents above. The rates listed below are intended for the "complete" trip package, not to exceed $4,000, and for residents of states other than MT, NY, KS, WA, MD, and PA.
For those needing a state-specific insurance rate:
Select your state.
*Travel insurance for those in PA must be purchased directly. Please contact Richard Rasch for a price quote at

Payment Information

Please note: A 3% fee will be added to all fees paid using a credit or debit card. This includes but is not limited to services such as PayPal or telephone charges.

CANDLES does not accept checks drawn on foreign banks. Those living outside the U.S. are asked to pay via credit card or wire transfer. If paying by wire transfer, there will be a $20 acceptance fee in addition to any fees charged by the bank initiating the transfer.

Payment Options
No file selected
No file selected
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