Request a Media Pass
Please use this form to request media passes to events hosted by NHRD, such as games, fundraisers, and public relations events. Each person on your crew must complete this form.
What is the name of your media outlet?
If independent or self-employed, please answer "Independent"
Which upcoming event interests you?
What job would you perform during the event?
Would you like to also be notified about future events?
Have you read and agree to our Media Agreement?
Please read it at
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This form was created inside of NH Roller Derby.
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