CITY OF MAQUOKETA ACCESS CHANNELS
CHANNELS 18 & 19
PROGRAM CONTRACT

Any program submitted for scheduling must be accompanied by a signed Program Contract. A Statement of Compliance must be on file for anyone submitting a program. Any minor must have an adult co-signer.

THE PARTY SIGNING THE PROGRAM CONTRACT ASSUMES LIABILITY
FOR PROGRAM CONTENT AND TECHNICAL STANDARDS.

Program title: __________________________________ Date __________________

This program is: Local Gov’t Access: __ Educational Access __ Public Access__

Was the program produced locally? Yes __ No __

Program type: Arts___ Cultural ___ Entertainment___ News___

Public Affairs ___ Religious___ Sports___ Other __

What are your programming preferences, if any? (Please Note: This is subject to change and there are no guarantees.)

Time: ____________________________ Date: ____________________________

Name of Producer/Provider: ______________________________________________

Address: _______________________ City/State/Zip: __________________________

Phone (Home & Work) ____________________ Date Event Happened:_____________

Organization and phone: ___________________________________________________

I hereby attest that this program does not contain the following:

any advertising or material that promotes any commercial product, service or lottery
any unlawful use of copyrighted material
any material that contains libel, defamation of character or is an unlawful
invasion of privacy
any solicitation or appeal for funds
any material that violates state or federal law relating to obscenity
any material that violates local, state or federal law
any material that violates the Maquoketa Access Channels Guidelines

After what date would you like to pick this tape up? _______________________

Please write a brief description of your program:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

I have read and understand the Maquoketa Access Channels operating rules. I certify that the program submitted has neither obscenity nor any commercial material. I assume full and complete responsibility for the program’s contents. I further understand that I assume responsibilities for any disputes arising from my unauthorized use of copyrighted material.

I agree to hold Maquoketa Access Channels and the City of Maquoketa and any of its employees, and City officials, etc. harmless from any and all liability or injury arising from my use of the access channel for any damage arising from such use, including copyright infringement. I understand that Maquoketa Access Channels are not responsible for damage to tapes while they are in our possession.

I have read and agree to comply with Maquoketa Access Channels Guidelines.
_____ yes _____ no ______________ (initial)

I have a Statement of Compliance on File.
_____ yes _____ no ______________ (initial)

Provider/Producer signature: ________________________ Date: ___________

Parent/guardian of minor: ___________________________ Date: ___________

Maquoketa Access Channels reserves the right to discard or erase videotapes that have not been picked up within (30) days of original cablecast date.

Maquoketa Access Channels reserves the right to record and retain any LIVE transmission using Maquoketa Access Channels equipment or services.

PLEASE MAKE SURE ALL TAPES ARE LABELED WITH THE:
TITLE
PRODUCER’S / PROVIDER’S NAME
PHONE NUMBER AND
THE PRODUCTION DATE