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Online Registration

PJA Online Membership Application Form & Liability Release Form

Founded in January 2004, PJA (Princeton Japanese Association, Inc.) is a 501(c)(3) non-profit organization registered in the State of New Jersey. Its members and volunteers run all programs and activities. We welcome anyone who supports our mission; (1) to provide mutual support, (2) to share & exchange information, and (3) to promote friendship through cultural and educational activities.

Please provide us with the following information, read the Liability Release Form, and click [APPLY] button. You will be directed to the PayPal site where you can pay online for the annual membership fee, either through your PayPal account if you have one, or by your credit card. Once the registration is recorded and payment confirmed, we will send you an e-mail (in Japanese) from princetonjapaneseassociation@googlegroups.com. Click on the designated URL in the e-mail and follow simple steps to join our mailing list. Upon completion, you will receive a confirmation e-mail and the member password. Please make sure to access your email.

Please check a circle below as applicable. 

I wish to join as a regular member. Annual membership fee is $ 25.00

I wish to join as a sponsor-affiliate member. My employer is a PJA corporate/individual/small-business sponsor. Annual membership fee is free.

I wish to join as a student member. My University is . Annual membership fee is $ 10.00.

 Please fill out the following information.

Names of All Family Members in the same household *
Address :  
Phone Numbers :  
 Email address :  
Self/Family
Introduction: **
(ex. hobbies, professions, places you have lived in, etc.)

*  Please provide the birth year of child(ren) so that we can facilitate meetings of families of similar background.

** PJA will share your information (name, including family members/town name/email address/self-introduction) with its members through ML (Mailing List) when introducing you as a new member. It has been the association’s unique way of connecting members. 

Liability Release Form

In consideration of being permitted to participate in any event sponsored by Princeton Japanese Association, Inc. (“PJA”), the undersigned for myself and as representative of all family members (spouse, parents, children) of the same household:

1. Agree to comply with any and all rules, regulations, terms and conditions for participation.

2. Acknowledge and fully understand that there may be risks of injury associated with the activities of the program, and assume all these risks. We hereby waive and release PJA, its members, directors, officers, staff, and all the other persons who are involved in the activities of the program (collectively the “Releases”), from any and all claims or liabilities related to, or arising out of our participation in the activities unless they are caused by the gross negligence or intentional action of PJA.

3. We consent to have medical treatment that may be deemed advisable in the event of injury, accident and/or illness during any program, event or activity. We release PJA and all persons participating in any such medical treatment from all responsibility for any such actions.

THE UNDERSIGNED FOR MYSELF AND AS REPRESENTATIVE OF ALL FAMILY MEMBERS (SPOUSE, PARENTS, CHILDREN) OF THE SAME HOUSEHOLD HAS READ THE ABOVE WAIVER AND RELEASE, UNDERSTANDS THAT HE/SHE IS GIVING UP SUBSTANTIAL RIGHTS BY SIGNING IT AND IS SIGNING IT VOLUNTARILY.

➡ By clicking the [APPLY] button below, I hereby agree to and accept the terms given in the Liability Release Form given above.   

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