Tickets for Good - Registration Request Form

Please complete this form to request that your organization be added to our platform. We aim to provide a response to your request via your work email within seven working days.

Please note:

We accept employees and student from both private and public healthcare as well as healthcare related 1st responders. We currently do not accept healthcare contractors or those retired from the service.

We accept employees from charities and non-profits with an EIN number. We currently do not accept volunteers or retired charity workers or those without an EIN number.

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First Name *
Last Name *
What state are you located in? *
Your Work Email *
What type of organization do you work for? *
Name of your organization (your hospital, clinic, school district, school, non-profit, etc) *
If you're a teacher, is this domain shared with students at the educational setting?
Clear selection
Organization website *
Your job title *
What email domain(s) does your organization use for work emails?
This is the part of your email address after the “@,” which helps us verify members of your organization.
Please enter only the domain (e.g., charity.org) without the “@” symbol. *
Who should we send the latest event updates for your organization to?
Please provide their name and email address
Submit
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