Media Credential Request Form

Media Credential Request Form

Thank you for your support of Mt. SAC Athletics.

Please complete the form below to request a Media Credential for a Mt. SAC Athletics Special Event or Mt. SAC Athletics Contest.
One form per person requesting a Media Credential
Requests will be screened (approved or denied)
All requests will receive a response

Today's Date

Email Address*

First Name*

Last Name*

Address*

Cell Phone Number*

Phone

Media Company*

Name of the company you work for or have been assigned by.

Your title within the company you are working for*

Credential Type(s) Requested*

Click all that apply

Writer

Photographer

Other - Please list in *Additional Notes* section below

Event you are requesting a media credential for*

Mt. SAC Relays

Mt. SAC Cross Country Invitational

LA84 Foundation Events

Mt. SAC Athletic Team Contest

Other Special Event - Please list in "Additional Notes" section below

If you are requesting a media credential for a Mt. SAC Athletic Team contest, please answer the following two questions:

Sport you are requesting a credential for*

Select or enter value

Date of the Mt. SAC Athletics Team contest you would like a credential for

Additional Notes

Send me a copy of my responses