2025 MEDIA APPLICATION
Name
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
Phone Number
Please enter a valid phone number.
Social Media Handles
Links to Previous Work
Do you have a safety vest, helmet and closed toe shoes?
Yes
No
MEDIA TYPE
Please Select
Photographer
Videographer
News/ TV Reporter
Print Reporter
Internet Reporter
Other
MEDIA OUTLET
Check Category That Applies to Your Pass
Contracted by Team (Must submit proof from Team)
Contracted by a National or Local Series (Must submit proof)
National/Local Television Station
Local Newspaper
Other
Rounds Requesting Media Pass
Full Season Credentials
Rnd 1- Blythe, CA
Rnd 2- Primm, NV
Rnd 3- Lake Havasu City, AZ
Rnd 4- Taft, CA
Rnd 5- Marysville, CA
Rnd 6- Devore, CA
Rnd 7- Preston, ID
Rnd 8- Cedar City, UT
Rnd 9- Mesquite, NV
Rnd 10- Primm, NV
Contact or Supervisor Name to Verify Contract
Contact or Supervisor Phone #
Contact or Supervisor Email Address
Assignment Letter or Contract
Browse Files
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Choose a file
You must submit a letter or contract stating your assignment.
Cancel
of
FAA Drone Registration Number (Only needed if applying to fly a drone)
FAA Drone Certification Number (Only needed if applying to fly a drone)
Proof of Drone Insurance
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Signature
Date
-
Month
-
Day
Year
Date
Submit
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