2015 Unlimited Off-Road Expo Media credential Waiver Thank you for your interest in providing media coverage for the 2015 Unlimited Off-Road Expo. Please read carefully and fill out the attached form and answer all questions. - All media will need to present picture ID onsite. - All media must provide with contact information & business card - Vests - All credentialed media will be presented a UOR Expo media vest. If wearing personal vest, it must be neon yellow or orange. - Members of the media must be at least 18 years of age. - All members of the media must attend any media briefings if scheduled. - All media agree to use the official event name or logo in all press publications and social media postings (Unlimited Off-Road Expo) - Media credentials are non-transferrable unless accompanied by letter from assigning editor. - Any and all media may be asked to move from a specific location for any reason. Media credentials may be revoked at ANY time for reasons including but not limited to: - Unprofessional behavior - Unsafe behavior - Ignoring requests of safety workers - I waive, release and discharge from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur me during the entire duration of this event. The following entities or persons: The Unlimited Off-Road American Show & Expo, LLC (UORExpo) and their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers. MEDIA TYPE QUANTITY CREDENTIAL NAMES STILL PHOTOGRAPHER _______________ ____________________________________ BROADCAST CREW _______________ _____________________________________ PRINT REPORTER _______________ _____________________________________ RADIO PRODUCER/REPORTER _______________ _____________________________________ INTERNET REPORTER _______________ _____________________________________ Interviews Requested: ________________________ ______________________________________ Date(s) Coverage Will Break: __________________________________________________________ OUTLETS RECEIVING CREDENTIALS ARE ASKED TO PROVIDE COPIES OF MEDIA COVERAGE Breaking media coverage should be emailed to [email protected] Photographers/Videographers please supply post race: Digital link or disc with samples of photos and/ or video Magazines/Newspapers please supply post race: Print date/newsstand date. Link to article where applicable or PDF copy of coverage TV/Broadcast/Radio Please supply post race: Date coverage aired. Radio - audio file/MP3. TV – video clip Online Coverage Only please supply post race: Link to actual coverage or screen grab of coverage. Additional waivers may be attached. One for each credential please. By completing this form, I hereby apply to Unlimited Off-Road Expo, to participate as a credentialed media representative. By my signature below, I certify that I have read, and understand, and accept the following representations, stipulations, and waivers. PLEASE NOTE: The submission of this form does NOT guarantee a media credential. Submission must include media waiver to be complete. ALL Media must wear a neon yellow or orange safety vest at all times while on race course. If you do not have a vest, vests are available on site at media check in. Name: ____________________________________________________________________________ Media Outlet: ______________________________________________________________________ Address: __________________________________________________________________________ State: _______ Zip Code: ___________ Phone: ___________________ Fax: ____________________ Email: _________________________________________ Website: _______________________________________ Signature:________________________________ For questions, please contact [email protected] | 404.401.2807
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