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Name
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First
Last
Phone Number (no dashes)
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Enter phone number without dashes or spaces
Email Address
Taping Location/Type
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Town Hall Studio
Live Stream Simulcast (Zoom/YouTube)
Remote Production
Be The Media
Pre-Recorded / Provided Recording
Show Title
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Episode Title / Topic
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Promotional Information / Episode Description
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Please include name of hosts, guests and/or any information you would like included for the online posting of the video
Promotional Information / Episode Description (copy)
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Please include name of hosts, guests and/or any information you would like included for the online posting of the video. This field is copied and pasted into the YouTube description upon upload.
Agreement with Policies
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I have reviewed and agree to the policies.
I have reviewed the WHC-TV (dba WHCi) Program Standards and represent that this program does not violate those standards. I am thoroughly familiar with the nature of this program’s material and take full responsibility for its content, and certify that the program does not contain the following: A lottery or any advertisement or information concerning a lottery or game of chance; Any presentation of advertising material designed to promote the sale of commercial products or services; Any solicitation or appeal for funds; Any obscene material; Any material of an explicitly sexual nature; Any material which has a reasonable probability of creating an immediate danger of damage to property, injury to person(s) or creating a public nuisance; Any material that is defamatory, infringes on copyright or trademark laws, or would otherwise subject the station to legal liability. 2. I agree to obtain all necessary clearances and permissions from any and all organizations, individuals, and groups as may be needed to tape and cablecast material on West Hartford Community Television (dba WHCi) and
http://www.whctv.org
. 3. I agree to hold harmless and indemnify West Hartford Community Television, Inc. (dba WHCi) and all cable providers; their employees, agents, and directors from any and all liability, loss, claim, cost, or damage of any nature whatsoever which may arise as a result of any material I have produced or provided.
Signature and Verification
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This is a digital signature. Anyone under the age of 16 must have a parent or legal guardian sign on their behalf.
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West Hartford Community Interactive