Survivor Name Wall Submission

St. Louis Kaplan Feldman Holocaust Museum Survivor Wall Submission

Please provide information about the individual you believe needs to be added to the Museum’s Survivor Wall.

Name*
First Last
Your Name
Phone*
Your phone number
Email*

Your Email
Information About Individual Submission
Please provide as many details as you can.
Legal Name of Individual*
Did this individual go by any other name?*

i.e. a nickname
Individual's Birth Date & Death Date (If Known)*
Individual's Place of Birth*
Individual's Place of Death*
Do you have any other information you would like to provide?*