2022-2023 MAKOMnj Learning Registration and Deposit

MAKOMnj Learning Program

In Person Sunday Morning Class Registration
Welcome! We are so excited that you have chosen to register for our Tree of Life Learning Program!

Please take a minute to fill out this registration form so we can get you enrolled. The total fee is $950 per child. There is a $250 enrollment fee per child. The remainding $700 per child can be paid at the time of registration or can be paid in installment over the next few months.

As we get closer to the start of our classes in the fall we will gather more detailed information. We can't wait to meet and welcome your family.
I will be registering

One ChildTwo ChildrenThree Children
Student Information
Student Name 1

First NameLast Name
Birth Date

MonthDayYear
Gender

MaleFemaleNon Binary
Name of Secular School
Grade in Secular School
Please list any food allergies
Student Name 2

First NameLast Name
Birth Date

MonthDayYear
Gender

MaleFemaleNon Binary
Name of Secular School
Grade in Secular School
Please list any food allergies
Student Name 3

First NameLast Name
Birth Date

MonthDayYear
Gender

MaleFemaleNon Binary
Name of Secular School
Grade in Secular School
Please list any food allergies
Please check ONLY if you DO NOT give permission for your child's picture to be used for publicity purposes. (Children's names will not be listed in any publicity)

I do not give permission
Parent/Guardian Information
Parent/Guardian 1

First NameLast Name
Address 1

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail 1
Cell Phone 1

Area CodePhone Number
Parent/Guardian 2

First NameLast Name
All contact information is the same as above

Yes
Address 2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail 2
Cell Phone 2

Area CodePhone Number
Child resides with
How did you hear about us?

PatchTapIntoMorristownFacebookMommy PoppinsFree Newspaper that Comes to my homeMendham Moms NetworkFriends Recommended MAKOMnjOther
Is there any information you would like for us to know or are you hoping to be placed with a particular group of students?
Names and ages of siblings not enrolled
Once you have completed this form, please click on the submit button below.
Please consider adding a few extra dollars if you are using credit card
Deposit
Amount Charged

My Registration Tuition

USDDescription

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

MAKOMnj Learning Program

Student Information

Parent/Guardian Information

Once you have completed this form, please click on the submit button below.