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

Online Trip Registration Form

Dates of Travel: July 29 - August 1, 2021


  • Complete and submit all registration materials
  • Send your $200 nonrefundable DEPOSIT to CANDLES Holocaust Museum and Education Center (payment options at end of the form)

Kansas City Summer 2021 Registration

This is a secure site.

Each individual should complete and return a separate registration form and the nonrefundable $200 deposit. The full payment balance is due no later than July 5, 2021, for all trip packages.


Guidelines & Responsibilities
Pacing Statement
COVID-19 Waivers
CANDLES Holocaust Museum and Education Center is requiring all trip participants to provide proof of being adequately vaccinated for COVID-19 in order to register for this trip. Please submit in either paper or electronic form a copy of your COVID-19 Vaccination records showing you have been fully vaccinated by July 15, 2021 (2 weeks prior to the trip date).
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Registrant's Information
Registrant's Address and Other Contact Information
Phone Type
Phone Type
How did you hear about the trip? (Mark all that apply.)
Emergency Contact
Personal Considerations
Do you have a food allergy?
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 meeting the group in Saint Louis, Missouri or Kansas City, Missouri (Do NOT complete this section if you are meeting the group in Terre Haute, IN)
I am meeting the group at:
How are you arriving to the meeting location you selected?
If you are meeting the group in Kansas City, will you need parking at the hotel for a personal vehicle?

Summary of Services

Services or products related to travel are listed below. The choice of one of the three trip packages is required. All other options are added at your discretion. A trip t-shirt is included with all packages and you will be asked to select your size below. 

Trip Package:
Kansas City Summer 2021 Trip T-shirt Size
Optional Add-Ons:
*Please note: Indiana residents will be charged 7% sales tax on purchased items.

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
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