MHSAA Network Declaration of Clearance - 2019-20 School Year
Please submit this online form and follow-up by submitting your $100 processing fee via credit card to the MHSAA Office by Sept. 7. To submit your fee by credit card, call the MHSAA office at 517.332.5046 and ask for Peggy Montpas.

By submitting this form, your company and the stations listed below agree to carry the weekly This Week In High School Sports program, as well as a minimum of four games from the MHSAA Basketball Finals, and the commercials contained within, as well as submit Affidavits of Performance attesting to that fact. Stations which do not submit proof of performance will be subject to all applicable rights fees.

Name of Broadcasting Company
Your answer
Call Letters - First Station In Group *
If there is only one station you're applying for, list it below. If there are multiple stations in your group, use the additional spaces that follow.
Your answer
Frequency - First Station *
Your answer
Location of First Station *
Your answer
Does This Station Stream Games Live Online? *
Website Address Where Games Are Streamed
Your answer
Call Letters - Second Station in Group
Your answer
Frequency - Second Station
Your answer
Location of Second Station
Your answer
Does This Station Stream Games Live Online?
Website Address Where Games Are Streamed
Your answer
Call Letters - Third Station in Group
Your answer
Frequency - Third Station
Your answer
Location of Third Station
Your answer
Does This Station Stream Games Live Online?
Website Address Where Games Are Streamed
Your answer
Call Letters - Fourth Station in Group
Your answer
Frequency - Fourth Station
Your answer
Location of Fourth Station
Your answer
Does This Station Stream Games Live Online?
Website Address Where Games Are Streamed
Your answer
Website Address For Fourth Station In Group
If applicable
Your answer
Programming Committment
This Week In High School Sports Will Air At The Following Times On Our Station(s) *
Your answer
MHSAA GIRLS Basketball Finals - March 21
Click below to indicate if you will carry this event and how many games you intend to carry
1 Game
2 Games
3 Games
4 Games
Click on all that apply
MHSAA BOYS Basketball Finals - March 28 *
Click below to indicate if you will carry this event and how many games you intend to carry
1 Game
2 Games
3 Games
4 Games
Click on all that apply
Would Your Station Be Willing To Air Be The Referee, A 60-Second Weekly Message, During The Spring (Late March to Mid-June)? *
Title of Authorized Contact *
Your answer
Authorization
The submission of this form signifies affiliate understanding and agreement that this DECLARATION is a PLEDGE to broadcast the above network programming and commercials as indicated. It is understood and agreed that the station is contractually bound to provide the MHSAA station logs to verify the broadcasts within 30 days of the conclusion of the Fall and/or Winter sports seasons. The MHSAA agrees to waive its rights fees for the station for MHSAA sponsored tournament games during the 2019-20 school year, and waive telephone installation fees at MHSAA Finals in Football and Basketball. The MHSAA will allow the station to originate any games at the above event involving teams from its market, provided all other MHSAA regulations are met. If a station wishes to delete any of the above scheduled programming, it would be subject to any rights fees and late charges according to MHSAA regulations.
E-Mail Address of Authorized Contact *
All notifications of weekly program availability, program logs, MHSAA Press Releases and other pertinent information will be sent via e-mail
Your answer
Station Address *
Your answer
City *
Your answer
State *
Use postal abbreviation - MI, WI, OH, IN, IL, PA, etc.
Main Telephone Number *
Your answer
Direct Line For Use On Day Of Broadcasts *
Just in case we need to reach someone at the station on game day
Your answer
Fax Telephone Number *
Your answer
E-Mail Address For Correspondence Purposes *
All notifications of weekly program availability, program logs and other pertinent information will be sent via e-mail - as well as MHSAA Press Releases
Your answer
Affiliate Station Contact For All Future Correspondence *
Give us the name of the person at the station we will need to contact on a day to day basis
Your answer
Affiliate Station Contact Telephone Number
Your answer
Affiliate Station Contact E-Mail Address
Your answer
Additional Information
If there is something else you want us to know about your station/group, provide that informaiton here
Your answer
Thanks! Don't forget to follow-up with your $100 processing fee by Sept. 13.
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