Request Form for Media Credentials
2009 USA Gymnastics Events
Please submit applications at least 12 days in advance of an event. Credentials may be granted up to 2 days prior , however, please send an accompanying email to Sam Kilgore,
skilgore@usa-gymnastics.org
, if you apply for a credential inside the 12 day window, to insure that your request is accepted.
NOTE: Please read the media accreditation
policy
before you submit the request form. For more information, contact Leslie King, senior director of communications, at (317) 829-5656, or Sam Kilgore, manager of media relations, at (317) 829-5679.
* indicates required fields
For which event(s) are you requesting credentials?
*
2009 Visa Championships, Dallas, Texas, Aug. 12 - 15
Other, Please contact USA Gymnastics
Media Agency:
*
First Name on Credential:
*
Last Name on Credential:
*
What type of credential are you requesting?
*
ES - Reporter
EP - Photographer
ENR - Non Rights Holding TV/Radio
Work Phone:
*
Cell Phone:
*
Email:
*
Address:
*
City:
*
State:
*
Zip:
*
Type of Media Outlet:
*
Newspaper
Magazine
Internet
Other
Television
Radio
Wire
Production Schedule:
*
Daily
Monthly
Yearly
Weekly
Quarterly
Circulation:
Deadline:
Web site:
Editor's First Name:
*
Editor's Last Name:
*
Editor's Phone:
*
Editor's E-mail Address:
*
Will you file from the arena?
*
Yes
No