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Program Series Submission
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This form has been modified since it was saved. Please review all fields before submitting.
Attach proof of residency.
Driver's license, state issued I.D., or utility bill with current address are accepted.
Series Title (max. 25 characters)
Date
Date
Series Descriptions (max. 200 characters)
Number of Programs in Series
Frequency of Programs
Topic of Series
Program Length
BCTV Production
Yes
No
Other
Adult Content (check all that apply)
Language/Profanity
Nudity
Sexual Content
Depicts Violence
Other
Is this program suitable for viewing by children?
Yes
No
Name of Program Creator
Program Creator Email Address
Program Creator Phone Number
Sponsor Information
This section is to be completed if you are not the creator of the program, but are sponsoring the playback of the program on BCTV.
Name of Sponsor
Street Address
City
State
Zip Code
Sponsor Email Address
Sponsor Phone Number
Click to read Operational Rules
OPERATIONAL USE POLICIES
I certify that I have read Burnsville Community Television’s OPERATIONAL USE POLICIES, and I understand that I am responsible for the content of the program that I produced for playback on the access channel(s). I understand that if I am sponsoring a series of programs as a resident of Burnsville not made at Burnsville Community Television and/or not produced by me, that I assume the same responsibilities as a producer for the content of the program according to the OPERATIONAL USE POLICIES. I affirm that:
• No lottery information will be cablecast • No obscene/indecent material or language shall be cablecast, nor programs that promote illegal acts. • The program contains no advertising, soliciting for funds, or revenue generating activity. • All clearances have been obtained from performers/talent, stations, sponsors, copyright holders, etc. • If a live cablecast, I have taken reasonable measures to ensure compliance with this statement.
I assume full responsibility for any disputes arising from unauthorized use of copyrighted material. As producer or sponsor, I am solely responsible for the content of this program series.
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