JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Event registration
Event Timing: Sunday, March 30th, 2025, 1:30 pm
Event Address: Bainbridge Island Museum of Art, 550 Winslow Way E, Bainbridge Island, WA 98110
Contact us at (360)386-2114 or
info@bijaema.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Email
*
Your answer
Phone #
*
Your answer
Survivor Family Name(s)
*
Your answer
I am interested in bringing:
*
Photos
Heirlooms
Other
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Bainbridge Island Japanese American Exclusion Memorial Association.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
