Remembering Rosewood Centennial               Media Registration 
Complete this form if you are interested in obtaining media credentials for the Remembering Rosewood Centennial Events.  To see a schedule of events, visit the Remembering Rosewood website. 

Limit - Two (2) per Media Outlet.  
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Select the event(s) you are registering for. (Check all that apply.)

A. Wreath Laying Ceremony - Sun, Jan 8
B. Rosewood Documentary Discussion - Thu, Jan 12
C. Where Do We Go From Here - Fri, Jan 13
D. Legacy Forum & Reception - Fri, Jan 13
E. A Conversation with the Next Generation - Fri, Jan 13
F. Movie Matinee and Q&A - Sat, Jan 14
G. Redefining The Next 100 Years Awards Gala - Sat, Jan 14
*
Required
First Name *
Last Name *
First Name (secondary person) *
Last Name  (secondary person) *
Journalist Title *
Media Type (print, broadcast, internet) *
Media Outlet (publication, TV, radio, online) *
Address *
City *
State *
Zip *
Telephone *
Email Address *
Have you published an article on Remembering Rosewood? *
If yes, nature of coverage.
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