Media Credential Registration

The Lance Armstrong Foundation (LAF) welcomes media coverage of the LIVESTRONG Challenge where there are thousands of uniquely compelling and inspiring stories. All interested journalists are required to complete the Media Credential Registration form and, if approved, must display Media Credentials at all times while at the event. Applicants will be notified of their status 10-14 days prior to event and credentials will be distributed at the LIVESTRONG Village on Saturday or on-site at the LIVESTRONG Challenge on Sunday.

* required information



First Name:*
Last Name:*
Organization/Company Name:*
Job Title:*
Email:*
Phone:*
Birth Date:*	(mm/dd/yyyy)
Address Line 1:*
Address Line 2:
City:*
State:*
Province:
ZIP/Postal Code:*
Country:
Website URL:


LIVESTRONG Challenge City:*	Portland San Jose Philadelphia Austin
Other staff/crew attending:	Yes No
Names of other staff/crew attending:
Are you a freelancer?:*	Yes No
If you are a freelancer, where will the story appear:
Publication/Station name:*
Circulation/audience size:*
Audience:*
Distribution area:*
Frequency of publication/broadcast:*
Expected run date:*	(mm/dd/yyyy)

Type the characters you see in the picture below:*

Journalists should be prepared to send, if requested, a letter of assignment on letterhead from the represented media outlet.
Freelance writers may be required to forward documentation of recent examples of published work from the last two years. Documentation can be in the form of bylined print clippings, DVD or VHS samples.