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NJSIAA Media Pass 2009/2010
*First Name:  
*Last Name:
*Name of Media:
*Name of Supervisor:
*Phone:
*Email:
*Website: http://
*Mailing Address Line 1:  
  Mailing Address Line 2:  
*Zip Code:
*City:  
*State:  

Please read 'Terms and Agreement' below.

“I agree that the use of this media credential is for first amendment use only in reporting of NJSIAA sanctioned sporting events. Any and all photographs or video clips taken by the person listed on this credential will not be commercially sold or resold in any way without the proper license, obtained through the NJSIAA. Any video clips taken for news-related coverage will not exceed a total run time of 3 minutes in length. I understand that all media organizations that apply for an NJSIAA Media Credential may have their website and/or publication reviewed by the NJSIAA for improper use of photos, images and/or videos. If any photographs or videos from NJSIAA sanctioned events are commercially sold or resold without express written permission from the NJSIAA I will be charged $500 and my Media Credential will be revoked for a period of no less than two (2) years from date of infraction. I understand the NJSIAA has the right to deny any requests for media credentials and/or can limit the number of media credentials that it distributes to a Media Company or Organization. Media Credentials are non-transferable and a Photo ID may still be needed to enter the event.”

* I have read, understand and agree to the terms listed above.