Accreditation

Media Accreditation Form

Title*

Forename*

Surname*

Address Line 1*

Address Line 2

Postcode

Country*

Contact Telephone Number*

E-mail Address*

Agency or Publication*

Date Attending From*

/ /

Date Attending To*

/ /

I declare that the picture(s)/film(s) produced will not be altered without prior written permssion of the person(s) concerned. I understand that I may only use the picture(s)/film(s) for the purpose stated above. I agree to abide by Scottish Hockey Union's Safe in Care Guidelines and Child Protection Policy.*

Accreditation

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