Membership Request

Fill out the form below and click the Continue button at the bottom.

Join NJLEARN now.  The Annual Membership fee is $8.25 per family.  The membership year runs from June through May.

Please fill out all the information below.  Thank you.

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Primary Last Name Primary First Name Primary Email Username Password Confirm Password Secondary Last Name Secondary First Name Secondary Email If Secondary Email is entered above, should it also receive weekly email and forum notifications, etc.? Yes No Address City State/Country

For United States and Canada AA - US AE - US AK - US AL - US AP - US AR - US AZ - US CA - US CO - US CT - US DC - US DE - US FL - US GA - US HI - US IA - US ID - US IL - US IN - US KS - US KY - US LA - US MA - US MD - US ME - US MI - US MN - US MO - US MS - US MT - US NC - US ND - US NE - US NH - US NJ - US NM - US NV - US NY - US OH - US OK - US OR - US PA - US RI - US SC - US SD - US TN - US TX - US UT - US VA - US VT - US WA - US WI - US WV - US WY - US AB - CA BC - CA MB - CA NB - CA NF - CA NS - CA NT - CA NU - CA ON - CA PE - CA QC - CA SK - CA YK - CA

For Other Countries State/Province Country

Zip/Postal Code Timezone Japan (JST) Central European (CET) Atlantic (Canada) (AST) Eastern (US/Canada) (EST) Central (US/Canada) (CST) Arizona (US) (AZ) Mountain (US/Canada) (MST) Pacific (US/Canada) (PST) Alaska (US) (AKST) Hawaii (US) (HST) Phone Phone 2 Children

Church Affiliation Weekly Email Update: Would you like to receive a weekly email update? Yes No Forum Emails: Would you like to receive forum notifications via email (not just the ones you create)? Yes No

Many Emails: Would you like to receive notifications IMMEDIATELY? Yes No

Delivery Type Whole Thread New Part Only

Daily Digest: Would you like to receive notifications ONCE A DAY? Yes No

Daily Digest Delivery Type Detailed Summary

Select which forum categories you would like to be notified about: General

Classifieds - Many Emails: Would you like to receive ALL classified notifications IMMEDIATELY via email: Yes No Classifieds - Daily Digest: Would you like to receive ALL classified notifications ONCE A DAY via email? Yes No

Additional Questions:

1. Please let us know your PayPal Email Address for account crediting purposes. If None type None. 2. Marital Status Married
Widow/Widower
Single
3. As a parent of a LEARN student(s), I/we understand the Parent Contract/Release and Consent Form standards and rules of conduct. I/we understand that if my family fails to comply with these standards I/we may lose the privilege of participating in LEARN.
(1 required) agree
4. As a student, I understand and have ready the Student Contract standards and agree to behave according to these rules of conduct. I understand that if I fail to comply with these standards I may lose the privilege of participating in LEARN.
(1 required) agree
5. Are any of your children graduating from high school in the Spring 2018? If yes, please list their names below. 6. Please enter any other information that you think LEARN administration should know about your family.  Thank you. 7. I have read the Orientation Information instructions located under menu item "Beginning of Semester" on the LEARN website.
(1 required) Yes
No

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