Yom HaShoah Name Submission
If you have loved ones you wish to be remembered during our community’s observance of Yom HaShoah, please list their names on the form below. We will keep your names in perpetuity.  (Please note: If you have submitted names to this list in the past, please do not resubmit the names again this year.  Rest assured that they are still on our list and will be read.)

To learn more about Yom HaShoah and view the Reading of Names Ceremony from 2023 visit: https://holocaustcenter.jfcs.org/holocaust-events/yomhashoah/

Sign in to Google to save your progress. Learn more
Email *
Your First Name *
Your Last Name *
City, State, and Zip Code *
Phone number
Name #1 Submission: First Name
Name #1 Submission: Last Name
Name #2 Submission: First Name
Name #2 Submission: Last Name
Name #3 Submission: First Name
Name #3 Submission: Last Name
Name #4 Submission: First Name
Name #4 Submission: Last Name
Name #5 Submission: First Name
Name #5 Submission: Last Name
Name #6 Submission: First Name
Name #6 Submission: Last Name
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy