Digital Media Event Coverage Request Form

(*denotes required information)

Instructions
Please fill out this form completely and click the Submit button below.
Completion of this form is NOT a guarantee that your request can be accommodated.

Contact Information

*First Name: 
*Last Name: 
*Phone:  {i.e. 555-555-5555}
*Email: 
*Dept: 
 

Event Information

*Event Name: 
*Date:  //
*Start Time:  //
*End Time:  //
*Event Location: 
*Event Description: 
 

Services Requested

 Videography

 

If requesting videography, your video will NOT be posted online unless you provide a description of the event.
In addition, all participants on camera must sign a video release form, which can be accessed here.

*Video Description: 
Your computer appears to have Javascript disabled. A video description is REQUIRED. Please enter a video description, which will appear under your video on Tigermedia.
*Video Category:
Sample Description:  Tigermedia Description
 Photography 
 

Prove you’re not a robot

*Math Challenge. 
Math Challenge Will Appear Here
*Enter Math Answer: