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Name of Submitter *
Who is bringing this video to be aired on BATV?
Contact Mailing Address *
City *
State *
Zip Code *
Phone Number *
Email Address *
Title of Program *
Name of show, to be displayed in Program Schedule
Title of Episode *
Sub-title to be displayed, if in a series.
Total Running Time *
HH:MM:SS
Requested Air Date *
When would you like this to begin airing on BATV?  (Must have a 10-day lead) Exact scheduling will be at the discretion of BATV staff.
MM
/
DD
/
YYYY
Dated Material? *
Is the program time-sensitive?
Does the submission have adequate audio and video? *
Does the submission advertise for a product or service? *
Does the submission contain campaign material for candidates for public office? *
Does the submission contain material for a mature audience? *
Does the submission contain copyrighted material? *
I am thoroughly familiar with the BATV Policies and Procedures(located at: www.mybatv.com/submission-guidelines), and the content of the program material to be cablecast and streamed online, and agree that it will comply with BATV programming guidelines as stated in the BATV Studio Use and Program Submission Policy.  I agree to indemnify and hold harmless Batavia Access Television, the City of Batavia, Comcast Cable, and AT&T from any liability, loss, litigation, claims, demands, damage, and expenses including reasonable attorney's fees caused by or arising out of any material supplied by the submitter in connection with litigation of BATV's channel time, including any disputes arising from unauthorized use of copyrighted material.  In addition, I hereby acknowledge and consent to having this program distributed via the Comcast Cable Television system in Batavia, Illinois, AT&T U-verse service throughout Northern Illinois, streamed online at www.mybatv.com, and to all the communities presently or henceforth interconnected with the BATV signal.
Do you Agree with the Policies and Procedures? *
Required
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