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Program Series Submission

  1. BCTV Program Series Submission Form
  2. Driver's license, state issued I.D., or utility bill with current address are accepted.
  3. BCTV Production
  4. Adult Content (check all that apply)
  5. Is this program suitable for viewing by children?
  6. 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.
  7. 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.
  8. 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.
  9. Leave This Blank:

  10. This field is not part of the form submission.