JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Rock the South 2026: Media Request Form
Please fill out the form below to request media coverage for Rock the South 2026. Advance coverage must be completed prior to consideration for media credentials to be approved. If you have any questions, please email
media@rockthesouth.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Outlet Name
*
Your answer
Job Title
*
Your answer
Outlet Type
*
Choose
Radio
Print
Online Publication
Influencer
TV
Newspaper
Other - See Notes
Email Address
*
Your answer
Phone Number
*
Your answer
Social Media Handle(s)
*
Your answer
Link to website
Your answer
Monthly Website Visitors
*
Your answer
Circulation Reach (if applicable - print only)
Your answer
# of tickets for coverage requested (2 max per outlet)
*
1
2
Additional Notes / Questions:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Peachtree Entertainment.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report