Media Request Form
Please contact us at least three days in advance with media needs
Name
*
First Name
Last Name
E-mail
*
Date of Service
*
-
Month
-
Day
Year
Date
Time of Event
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Title of Event
Types of Media
Powerpoint
Online Video
DVD
Music
Other
Facility Needed (Check all that apply)
*
P.A.C.
Stage
Valley (HS Gym)
Den (New Gym)
Outdoor Speakers
Lighting (only for PAC/Stage
Stage LED Lighting
Room Lighting
Speaker spotlight
If you selected "Outdoor Speakers" please select the location needed:
JSH Football Field
JSH Parking Lot
Puyallup Elementary
McAlder Elementary
Frederickson Elementary
Puyallup ELC
Microphones: select type
Handheld
Wired
Lapel
Headset
Microphones Needed
Please Select
1
2
3
4
5
6
How many?
If you need outdoor set up please select location of event
JSH Football Field
JSH School entrance
Puyallup Elementary
McAlder Elementary
Frederickson Elementary
Puyallup ELC
Media Needed
Upload a File
Upload pictures, videos, PPTs here
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