Media Pass Request

Media Type

Media Outlet/Organization:

Media Outlet Contact Name:

Phone

Organization Website/URL

Name of Individual Requesting Credentials

Individual Requesting Credentials Role

Individual Requesting Credentials Email

Individual Requesting Credentials Phone #

Where will the photos or video content be sent and what will it be used for ? *

Agreement

By checking this box, I agree to all terms of the Flour Bluff ISD Media Credential Policy.

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Flour Bluff ISD • 2505 Waldron Road • Corpus Christi, TX 78418

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