MEDIA SERVICES REQUEST FORM

Communications Request Form

This form is for internal use only and applies exclusively to city-sponsored events. All requests must be submitted at least 30 days prior to the requested service date.
Has this event been submitted to Khester@rivierabeach.org for approval and inclusion on the master calendar?*

YesNo
A special events permit is required for any parade, fair, show, carnival, party, motorcade, run, street dance, bike-a-thon, race, walk, athletic event, or any other public entertainment or celebration held on public property, public right-of-way, or private property that may impact the community’s quality of life.
Have you obtained a special events permit?*

YesNo
If this qualifies as a special event and you have not obtained a permit please visit https://www.rivierabch.com/specialevents
Requester Information
Name*

First NameLast Name
Department*
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Event/Initiative Details
Type a question*
Event Date(s) & Time(s) *
Event Location *
Brief Description of Event/Initiative*
Service Requested*

Press ReleaseGraphic Design (Flyers, social media, etc.)PhotographyVideographyLivestreamContent Dissemination (social media, website, Ch. 18, etc.) The communications team reserves the right to choose the communication channel(s).
Press Release Requests (If applicable)
Due Date:
Key message or announcement to be included
Quotes or key speakers to highlight
Graphic Design (If applicable)

(Please attach all images and/or sponsor logos at the bottom of this form)
Due Date
Type of Asset

Flyer (8 x11)Social MediaPosterBannerOther (Please specify below)
If you selected other please specify
Type a question
Website or Registration Link
Videography and/or Photography Requests (If applicable)
Date of Service Request
What type of footage or photos are needed?

Pre-event Promotional ContentEvent CoverageInterviewsOther (Please specify below)
If you selected other please specify
Additional Comments/Requests
Supporting Documents or Images

(Please upload any sponsor logos)
File Uploader

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Please verify that you are human*
Should be Empty:

Communications Request Form

Requester Information

Event/Initiative Details

Press Release Requests (If applicable)

Graphic Design (If applicable)

Videography and/or Photography Requests (If applicable)

Supporting Documents or Images