Moja Earth Membership registration form

Welcome to our Moja community! Your decision to join us marks the start of an inspiring journey towards nurturing positive change in a child's life. As a new member, you're stepping into a world committed to transformational growth and sustainable impact. We'd like to invite you to complete the registration form below. Rest assured, your information will remain confidential.

First name

Last name

Email

Phone

Date of Birth

Address

Is this membership a gift for someone?

I plan to share the gift of friendship with a child? (i.e. your children, a niece or nephew, a child of a friend, etc.)

Yes

No

If yes, whats the child's full name?

What's the child's date of birth?

Does the child speak or understand English?

What languages does the child speak?

To which postal address should we send your Moja Earth Membership welcome gift and ensuing engagement activities?

Same as above

A different address. Please provide the address in the fields below.

Street name and house number, apt. number

City

Country

Zip Code

We'd like to get to know our members better. Share more about you.

In order to improve our programmes and communication, we would like to gather some demographic information about our members. While this information is optional, we would appreciate it if you could answer the questions below (this is a good moment to remind you that all information shared will be kept confidential).

What's your highest level of formal education?

What is your current occupation or primary role? This can include your profession, job title, or any significant responsibilities you may have, such as caregiving, motherhood, or looking after a loved one. Please write N/A if you prefer not to share.

What is your annual household income?

Less than CHF/€ 30,000 per year

CHF/€ 30,000 - CHF/€ 50,000 per year

CHF/€ 50,001 - CHF/€ 70,000 per year

CHF/€ 70,001 - CHF/€ 90,000 per year

CHF/€ 90,001 - CHF/€ 120,000 per year

CHF/€ 120,001 - CHF/€ 150,000 per year

More than CHF/€150,000 per year

Prefer not to say

Other

Membership Tier

Earth Membership - CHF495/triannual or CHF1485 annual payment

The Earth Membership is the only Moja Garden membership directly matched with a Moja Garden student. The membership fee payment structure therefore follows the school fees payment structure.

This membership covers comprehensive education, daily nutrition, and safe living conditions – essentials for the holistic growth of a child.

Payment Information

The Earth membership fee payment structure follows the school fees payment structure. In the case of triannual payments, your first payment will be CHF495. Payments are made in January, May and August. If payments are made on an annual basis, the total amount of CHF1485 will be paid in January.

Important Notice

By submitting this registration form, you agree to abide by the terms and conditions of Moja Community. You also consent to receiving communications and updates related to the Moja Garden Programme about the impact your commitment and support is making.