Media Accreditation

Media Accreditation Form-104

Applicant Information

Full Name *

This field is required

Name of Media Outlet / Social Media Channel *

This field is required

Applicant Title or Position *

This field is required

Link to Media Outlet / Channel *

This field is required

Phone Number *

This field is required

Email Address *

This field is required

Country *

This field is required

Publication Language *

This field is required

Publication Language (Other)

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Outlet Representation

Number of Representatives (max: 2) *

This field is required

Role of Representative *

This field is required

Second Representative - Full Name

This field is required

Second Representative - Phone

This field is required

Second Representative - Email

This field is required

Second Representative - Role

This field is required

Publication Details

Publication Type *

This field is required

Publication Type (Other)

This field is required

Coverage Category (Select all that apply) *

Written Photography Videography Interviews

This field is required

Event Coverage Checklist

Event Coverage (Select all that apply) *

Fight Night - Feb 14th 2026

This field is required

Interviews

Interview Request *

No Yes

This field is required

Additional Information

Emergency Contact Name *

This field is required

Emergency Contact Phone *

This field is required

Co-Promoter Details (Optional)

This field is required

Previous Coverage Links (Optional)

This field is required

Anything else you’d like to add?

This field is required