Edinburg CISD Media Request Form
KATS-TV OFFICE: 289-2421
Public Information Office: 289-2300 ext 2022
Email address *
Event request for media recording has been reviewed and approved by the campus principal or department director. *
Campus/Department *
Your answer
Contact Name *
Your answer
Contact Phone *
Your answer
Contact Email *
Your answer
Event Name *
Your answer
Date *
MM
/
DD
/
YYYY
Actual Event Start Time *
Time
:
Event Location (specify gym, library, etc.) *
Your answer
Story Focus/Description *
Your answer
What type of media coverage? *
Required
I understand and acknowledge that by submitting this form all permissions and/or fees (copyright, royalties, performance fees, rebroadcast fees and other fees or contracts associated with any part of this recording) have been paid or obtained. *
Required
*** Note: Submitting this form does not guarantee your program will be covered.***
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