<span>Cook Out Summer Shootout</span> Media Credentials

First Name*

Last Name*

Organization

Title

Phone*

Email*

Media Type (please check all that apply)*

Photography

Videography

Internet Publication

Television

Print Publication

Are you taking pictures or video for use by an internet or print publication? *

Yes

No

Are you taking pictures or video that will be sold? *

Yes

No

Do you have clients?*

Yes

No

Check dates you plan to attend (Race Days are bold):*

Please list the TEAMS or DRIVERS who are your clients

1. Name & Phone Number

2. Name & Phone Number

3. Name & Phone Number

4. Name & Phone Number

5. Name & Phone Number

* Indicates a required field

Cook Out Summer Shootout Media Credentials