Senior's Senior Prom Registration

Calumet City Residents Age 55+ ONLY

Must show ID upon ticket pickup

Each registered Calumet City resident will receive (2) FREE tickets

Ticket pickup information will be provided upon registration.

First Name*

Last Name*

Email*

Phone*

Date of Birth*

Address*

Address 2

City*

State*

Zip*

Optional: I would like to receive text messages from the city. By checking this box, you agree to receive alerts, community updates, and informational items via text message from the City of Calumet City. Message frequency will vary, and message and data rates may apply. Subscribers will have the opportunity to opt-out from receiving text messages at any time by replying STOP to unsubscribe. Review our Text Message Privacy Statement

Required: Upon submitting this form, a confirmation email will be sent to your inbox. By checking this box, you are agreeing that your email address is correct and all information provided is correct.

(708) 891-8106