2024 SPRING - Media Request Form
BOYS: BASEBALL, LACROSSE, VOLLEYBALL 
GIRLS: LACROSSE, SOFTBALL

Please direct any questions to Wendy Merlina at: wm@piaa.org
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Email *
School?
*
Are you an Athletic Director or member of a school based media outlet?
Media Outlet Name
*
Name of Media Outlet or School 
Media Outlet Address
*
Address of Media Outlet or School
Media Outlet Contact Name
*
Contact name for Media Outlet or Athletic Director name for billing
Media Outlet Contact Phone
*
Contact cell/phone number for billing (ex 555 555-5555)
GENDER
*
Will you be broadcasting a Boys or Girls game?
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