First Responder Registration Form
This is not your ticket to the event. A link to a mobile ticket will be provided once you are confirmed.
We invite you to join us for an unforgettable evening in honor of Los Angeles' first responders, military personnel, and emergency management teams. Rock for Responders will celebrate and support our firefighters, police, military, and disaster response agencies, shining a light on their critical roles in building community resilience and recovery. Due to high demand, we are committed to accommodating as many guests as possible. However, please note that registering for a complimentary ticket does not guarantee entry. We encourage you to monitor your email for updates and confirmations as the event approaches. Thank you for your understanding! If you have friends or family who are not currently serving as first responders but would like to contribute and secure a spot, please direct them to https://pacificbattleship.com/rock-for-responders/ to purchase tickets.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Will you need 1 or 2 complimentary tickets for the concert?
Guest Name
First Name
Last Name
Which agency or fire station are you currently associated with?
SUBMIT ANSWER HERE
Have you ever served in U.S. Armed Forces?
Yes
No
Currently Serving
Submit
Clear All Answers
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