Media Tournament: Sports Director: Name of Agency: Street Address: City: State: ---AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming Zip: Phone Number: Fax Number: Email: Please list the names of the individuals from your agency (including yourself) who are requesting credentials to cover this event. Names of individuals must be included “camera,” “photo” or “press” will not be accepted. Photo identification will be required at the media entrance. Each person will only be allowed to pick up their own credential. 1. Full Name: ---PressPhotoVideo 2. Full Name: ---PressPhotoVideo 3. Full Name: ---PressPhotoVideo 4. Full Name: ---PressPhotoVideo 5. Full Name: ---PressPhotoVideo Confirmations will be emailed to the Editor/Director when approved.
