NJIO 2024-2025 Winter Registration

NJIO 2024 - 2025 Winter Registration

** Woodwind, Brass, Percussion, and CELLO players must first submit a seating request form BEFORE registering to assure there is space in the ensembles. You can find the request form at www.njio.com/registration
TR Season
Season
Fund
Campaign
Account Type
Appeal
What type of registration is this? All members except "Outreach Only" members can play in their choice of ensembles*

Youth (Grades K-12)Young Adult (18-26)Adult (27-61)Senior (62+)Adult and Youth Joint MembershipOutreach Only
Please enter the Adult Registration first and the Youth Registration in the section below
Name of Youth Registering*

First NameLast Name
Name of Musician Registering*

First NameLast Name
Registrant Email *
example@example.com
Registrant Phone Number (Prefer mobile for text notices)*
Please enter a valid phone number.
Birth date*

MonthDayYear
Date
Birth date (used for internal reporting purposes only)*

MonthDayYear
School*
Grade in 2024-2025 School Year*
Parent/Guardian Name *
Relationship to Youth*
Parent/Guardian Email *
example@example.com
Parent/Guardian Phone Number (Prefer mobile for text notices)*
Please enter a valid phone number.
Employer (optional)
Which ensembles do you wish to join? You can modify this later.*

Prelude (Thursdays 4:30-5:30)Intermezzo (Thursdays 5:45-7:00)Symphony (Thursdays 7:30-9:30)Outreach Ensemble as part of Season MembershipOutreach Ensemble Only (Wednesday evenings once a month)
Instrument*
*Woodwinds, brass, percussion, and cello players require pre-approval and must first complete the Wind/Brass/Percussion/Cello request form found at www.njio.org/registration
Approximate Number of Years Playing the Instrument*
Name of Music Teacher and Location
Pronouns
Race/Ethnicity (Our funders require us to gather this information to help evaluate our program. We do not release individual data to outside parties)*
Volunteer interest (choose as many as interest you)

Concert lobby helpWelcoming new membersMarketingSocial mediaGrant writingFundraisingEvent planningYouth mentorshipBoard serviceTechnologyStrategic planningGeneral administrationI am not available to volunteerOther
Please list any other Info that would be helpful for us to know (for example: Learning styles, allergies, etc)
Address*

Street Address

Street Address Line 2

CityState

Zip Code
County*
Please enter the information for the Youth Member you are registering below
Name of Youth Registering*

First NameLast Name
Relationship to Adult Member*
Youth school grade*
Youth birth date*

MonthDayYear
Date
Youth school*
Parent/Guardian Email *
example@example.com
Parent/Guardian Phone Number (Prefer mobile for text notices)*
Please enter a valid phone number.
Is the Youth's address the same as the Adult's?

YesNo
Youth Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If the Adult Member is not the Parent/Guardian please supply the Parent Guardian Name, email, and phone below
Which ensembles will the Youth Member join? You can modify this later.*

Prelude (Thursdays 4:30-5:30)Intermezzo (Thursdays 5:45-7:00)Symphony (Thursdays 7:30-9:30)Outreach Ensemble as part of Season MembershipOutreach Ensemble Only (Wednesday evenings once a month)
Instrument *
Youth number of years playing instrument*
Name of Music Teacher and Location
Youth Pronouns
Youth Race/Ethnicity (Our funders require us to gather this information to help evaluate our program. We do not release individual data to outside parties)*
Youth Volunteer interest (choose as many as interest you)

Concert lobby helpWelcoming new membersMarketingSocial mediaGrant writingFundraisingEvent planningYouth mentorshipBoard serviceTechnologyStrategic planningGeneral administrationSocial CommitteeOther
Please list any other Info that would be helpful for us to know (for example: Learning styles, allergies, etc)
For NEW members only: How did you hear about NJIO?

From a current member of NJIOFrom my music teacherFrom friend/familyAttended an NJIO concertNewspaperSocial mediaGoogle searchOther
Refund policy and pro-rated fees:

If your plans change, NJIO will refund your membership (less a $25 administrative fee) until January 9, 2025.

Contact Mary Beth Sweet (mbsweet@njio.org) with any questions.

Select Your Registration Type*

Youth (Grades K-12)

$195.00

Young Adult (18-26)

$195.00

Adult (27-61)

$275.00

Senior (62+)

$195.00

Joint Adult/Youth

$350.00

Outreach Only

$100.00

Optional: Offset credit card fees so 100% of your membership fee goes to NJIO

$8.00

Total

$0.00

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

Note: Please enter your Zip Code in the last Credit Card box above
Please verify that you are human*
Amount
Thank you for registering. You may need to scroll up after submission to verify that your registration has been received but you will receive a registration confirmation email from NJIO via our registration service, Jotform.
Should be Empty:

NJIO 2024 - 2025 Winter Registration

Please enter the Adult Registration first and the Youth Registration in the section below

Please enter the information for the Youth Member you are registering below

Note: Please enter your Zip Code in the last Credit Card box above

Thank you for registering. You may need to scroll up after submission to verify that your registration has been received but you will receive a registration confirmation email from NJIO via our registration service, Jotform.