Membership Sign Up - Credit Card

How did you hear about us?

Please let us know how you heard about NJIO:

NJIO logo

2018-2019 Season Registration Form

Please complete this registration form in its entirety.


The registration fees below include a convenience fee to cover credit card charges.  

Membership Level

  • Prelude String Ensemble – Beginning string players. Participants should have a basic knowledge of the notes in first position and recognize notes by name for one octave in the appropriate clef for their instrument (Treble for Violin, Alto for Viola and Bass for Cello and Bass). Monday Rehearsals: 4:30 pm – 5:30 pm

  • Intermezzo Orchestra – Intermediate players. Participants should have at least one year of experience on their instrument and in addition to the Prelude requirements, have an understanding of rhythms and intonation. Monday Rehearsals: 5:45 pm - 7:00 pm

  • Symphony Orchestra –- Intermediate & advanced players. Playing standards are highest for Symphony. Players should have an understanding of intonation, rhythm, dynamics and articulation. Monday Rehearsals: 7:15 p.m. - 9:30 p.m.


You may select one or more of the orchestras/ensembles below.  Contact NJIO if you wish to change at a later date.

  • Prelude
  • Intermezzo
  • Symphony
  • Flute Choir
  • Outreach Ensemble

Member Information

Please enter information about the member joining NJIO. All registrants should complete the first 4 questions.

Years Playing
Music Teacher



If registering a child please complete this section.

Child's Date of Birth (mm/dd/yyyy)
Child's School
Child's Grade

For the purpose of obtaining grants we would like to know your Race/Ethnicity.


(Select all that apply.)

  • American Indian Alaska Native
  • Asian
  • Black/African American
  • Hispanic Latino
  • Native Hawaiian/Other Pacific Islander
  • White
  • Other

Parent Information

If registering a child please complete this section of the form.  Otherwise ignore this section.  Providing parent employer information will help us identify grant opportunities.

Parent 1 First Name
Parent 1 Last Name
Parent 1 Cell Phone
Parent 1 Employer


Parent 2 First Name
Parent 2 Last Name
Parent 2 Cell Phone
Parent 2 Employer

Volunteer Area

NJIO needs your family's help in many areas.  Your registration fee only covers 25% of NJIO costs.  Your family's willingness to pitch in will allow us to continue to keep registration fees reasonable.


  Please check your areas of interest and someone will contact you.  Thanks!

Volunteer area*
  • Rehearsal
  • Performance
  • Administration
  • Fundraising
  • I am unable to volunteer at this time.
Please write in any special skills you have, for example Public Relations, Social Media, Graphic Design, Stage Management, Event Organizer.

Contact Information

Enter member's name and employer information here.  


If member is a child enter child's name here and ignore the employer section. Parents should enter their employer section in the Parent Information section above.


Providing your employer information will help us identify grant opportunities. 


Member's Employer
Spouse's Employer




Enter your contact information below. If registering a child the parent's information goes here.

State / Province*
Confirm Email*

NJIO Member Agreement

Registering in one of NJIO's programs indicates your acceptance of the following:


I agree to follow the rules for NJIO members in effect throughout the year, including attendance and punctuality requirements and placement within NJIO Orchestras at the discretion of the Artistic Director. I understand that I may not be able to participate in all of NJIO’s repertoire because of instrumentation, score or other limitations.


I understand that NJIO is a non-profit organization with limited resources and as a member I will assist NJIO in promoting its mission and with its fund-raising activities. If registered as a Teaching Professional Member, I agree to assist the Artistic Director as requested during rehearsals and performances.


Unless I notify you in writing, I hereby grant and give NJIO the right to use my or my child’s photograph or image (without a name) both singly and with other persons or objects for NJIO presentations, advertising, publicity and promotional purposes which may be displayed on television, film, video, visual, electronic, or printed media.


Release of Liability and Indemnity: As consideration for my (and/or my child’s) participation in activities of NJIO which I understand may entail risks such as injury to persons or property at rehearsals, performances, NJIO events and functions, and travel to and from same (collectively without limitation “NJIO Activities”), I hereby release and discharge NJIO, and its successors, and assigns, its Trustees, officers, agents, and volunteer workers (collectively the “Released Parties”) from any and all liability for loss, injury, or damage that I (he/she) may suffer directly or indirectly as a result of my (their/our) participation in NJIO Activities.

Please check box to indicate you agree to the terms.*
  • YES

How did you hear about us?

Please let us know how you heard about NJIO:

If referred by a member enter name here so they could get credit:

Payment Information

Name on Card*
Card Number*
Additional Comments

Security Code

Share This Form

Powered by eTapestry.