Care Harbor Media Registration

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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.

Media Outlet / Organization *

Type of Media *

Registered Press (Print/Broadcast/Online)

Blogger

Academic Media

Sponsor Media

First and Last Name *

Office/Mobile Phone Number *

E-mail *

Media Region

Local

National

International

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Dates You Are Planning to Attend *

Friday, November 15 - The Reef (Clinic for People Experiencing Homelessness)

Saturday, November 16 - The Reef (Clinic for General Public)

Sunday, November 17 - The Reef (Clinic for General Public)

Wristbanding - November 9 (Ted Watkins Park)

Wristbanding - November 10 (Los Angeles Trade Tech)

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

Submit

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