Breakout 2020 Media Badge Application
Do you represent a news site, podcast, Youtube channel, blog, Facebook Page, Instagram or other type of platform that produces unique and engaging Tabletop Industry related content? Do you have a sizable audience? Then you may qualify to apply for media.

Please review the media kit and requirements at https://breakoutcon.com/media before submitting your application.

The deadline to apply is December 1, 2019 unless we reach maximum capacity at an earlier date.

If you have any questions about your application, please contact vicky@breakoutcon.com
Email address *
First Name *
Your answer
Last Name *
Your answer
Media Outlet *
Your answer
Job Title
Your answer
Phone Number *
Your answer
Outlet Website *
Your answer
Outlet Facebook
Your answer
Outlet Twitter
Your answer
Other Outlet links you wish to include
Your answer
Media Outlet Type that best describes you
Estimated Total Audience / Following
Your answer
How often do you publish content?
Your answer
Please describe your media organization and audience
Your answer
Detail your intended coverage of Breakout 2020
Your answer
Were you approved for media at Breakout in a previous year?
If you responded yes above, can you please link to your coverage of Breakout
Your answer
Completing this application does not register you for a Breakout 2020 media badge *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy