Care Harbor Media Registration
Please provide all of the information requested so that we can quickly process your media badge when you arrive at the clinic. You must check in at the Media Room to pick up a badge and be escorted to the clinic floor. Only registered media will be allowed to film or photograph at the clinic.
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Media Outlet / Organization *
Type of Media *
First and Last Name *
Office/Mobile Phone Number *
E-mail *
Media Region
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Dates You Are Planning to Attend *
Please indicate the type of equipment you will be bringing with you (e.g. live truck, camera, etc.)
Please indicate any specific interview needs/shot requests (e.g. shot of clinic prior to start)
Additional Comments/Requests
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