Program Request for Air Form

Note: If you are under the age of 18 years old, you must provide the signature of a parent or guardian.
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    Agreement of Rules and Policies

    I hereby agree to sponsor the program identified in this form. I understand that I am responsible for the presentation of this program or series. I agree to hold harmless Northampton Community Television, its directors and employees, and the City of Northampton from any liability, loss, claim, cost, or damage or any nature whatsoever which may arise by reason of any claim that any material distribution infringes or violates any rights of any person or organization. The program or series meets the technical and content requirement and limitations of NCTV as set forth in the NCTV Rules and Policies. I have obtained all necessary release forms and rights for the program or series content. I confirm that I am the individual or legal guardian of the individual whose name appears as the submitter of this document, and whose signed name appears below. I understand a paper copy of this document can also be submitted at the Northampton Community Television station in lieu of electronic submission. I also understand that the electronic submission of this form constitutes a legally binding agreement with Northampton Community Television, and that I knowingly submit and electronically sign this document.
    This is a required question