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.
Media Outlet / Organization
Type of Media
Registered Press (Print/Broadcast/Online)
First and Last Name
Office/Mobile Phone Number
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)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service