I am requesting the following media credentials (please check all that apply):
 Reporter Photographer Newspaper Magazine TV Radio Online Other

Name of Org./Affiliate *

Point of Contact *

Title

Street Address *

City *

State *
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Zip *

Country *

Phone *

Email *

List names of all persons attending and their positions.
(Use ONE form for all persons from same media outlet)

Which show/or shows will you be covering
(please check all that apply):
 Friday, Sept 28th Saturday, Sept 29th Sunday, Sept 30th

So that we can help you obtain the coverage that you need, please list any other requests below (Specific interviews, access/footage needed, special story angle, aircraft rides etc.):

Interviews
 Yes No

Which acts would you like to interview?

Media Rides?
 Yes No

# Requesting Media Rides?
*Media rides are subject to availability and may also be changed or cancelled due to weather or mechanical problems

Access/Footage Needed
 Yes No

For which acts would you like access/footage?

Special story lines
 Yes No

Please specify.

Special medical needs?
 Yes No

Please specify.

If provided with credentials, I agree to provide proof that I am at least 18 years old (unless age requirement waived by an authorized representative) and provide my organization's press credentials or an official assignment letter from a bona fide media outlet.

I understand and comply with the conditions listed on this form for receiving credentials. *
 Yes No

We will notify you by e-mail to confirm your credentials as well as provide you with show updates.

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