Care Harbor Fairplex 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
Saturday, April 27 - The Fairplex
Sunday, April 28 - The Fairplex
Wristbanding, Saturday, April 20 (Various Locations)
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