Press Credential Application Form -

Press Credential Application Form for Xtreme Knockout Events

I understand this is an "Application for Approval" ONLY. If approved, I will be notified and issued a pass for one upcoming event. I must submit an individual request for each Xtreme Knockout event. Media passes are issued event by event.

Today's Date

Name *

Address *

Country

City

State

Zip code

Business Phone *

Mobile Phone *

Email *

Company/Outlet Name *

Please indicate the outlet name that you are covering for

Company/Outlet Website *

Company Supervisor Name *

Company Supervisor Contact info (email or phone) *

When is your media coverage to be Published/Broadcast? Explain *

Agreement

As a condition of receiving credentials for this Xtreme Knockout MMA Event, I agree to send tear sheets or a copy of my coverage as soon as possible following the event.
“I hereby confirm that I have read, comprehended, and consent to the terms outlined in the Waiver of Liability & Talent Release Agreement by affixing my signature below.”

MUST READ: Waiver of Liability & Talent Release Agreement

Confirmation *

"I hereby confirm that I have read, comprehended, and consent to the terms outlined in the Waiver of Liability & Talent Release Agreement by affixing my signature below."

Signature *

Reset Signature

Signature is required.

Press Credential Application Form

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