KidsTix Enrollment Form

This field is for validation purposes and should be left unchanged.

Parent/Guardian 1 Full Name(Required)

First Last

Parent/Guardian 2 Full Name

First Last

Email Address(Required)

Enter Email Confirm Email

Phone Number(Required)

Would you be interested in receiving SMS communications in the future?(Required)

Yes

Full Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Number of people in your household.

Names and birthdates of all children in the household(Required)

First Name / Last Name / Birthdate. For example: John Doe 12/31/2023

Have you ever attended an event at FIM before?(Required)

(Including free community events, fundraisers, co-promotions, or shows at Whiting Auditorium, Capitol Theatre, or Flint Repertory Theatre)

Have you previously participated in the KidsTix program?(Required)

Referral Source(Required)

Other (please specify)

Is anyone in your household a veteran or active military member?(Required)

Is anyone in your household currently a college student?(Required)

What race or ethnicity best describes you?(Required)

(Please choose only one.)

Please monitor your email for updates regarding your KidsTix enrollment status.

Flint Institute of Music