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33
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1
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First Name
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2
Are you a Pasadena Media Producer Member?
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If you answered "NO" to the previous question, please enter your address below.
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Rwanda
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Saint Helena
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Samoa
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Turkey
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US Virgin Islands
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Western Sahara
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Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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4
What is your email address?
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example@example.com
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5
What is your Project / Series Title?
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6
How many episodes are your submitting?
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There is a max of 5 submissions per form. If you are submitting more than 5 episodes at once, please use another form.
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7
What type of content are you submitting?
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Video (mp4)
Audio only Podcast (mp3)
Photo Bulletin (jpg or jpeg)
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8
What is Episode 1's title?
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9
What is Episode 1's file name?
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Please make sure it matches the following format: Project Title - Episode Title - Episode Total Run Time (TRT) . File Type (e.g. Arroyo Now-Arroyo Now With Chief Harris-27:30.mp4)
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10
How would you describe Episode 1?
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Keep it simple and use third person point of view.
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11
What is Episode 1's Total Run Time (TRT)?
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Please give us the exact run time even if it is over or under the normal TRT's of 27:30 or 57:30.
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12
What is Episode 2's title?
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13
What is Episode 2's file name?
Please make sure it matches the following format: Project Title - Episode Title - Episode Total Run Time (TRT) . File Type (e.g. Arroyo Now-Arroyo Now With Chief Harris-27:30.mp4)
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14
How would you describe Episode 2?
Keep it simple and use third person point of view.
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15
What is Episode 2's Total Run Time (TRT)?
Please give us the exact run time even if it is over or under the normal TRT's of 27:30 or 57:30.
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16
What is Episode 3's title?
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17
What is Episode 3's file name?
Please make sure it matches the following format: Project Title - Episode Title - Episode Total Run Time (TRT) . File Type (e.g. Arroyo Now-Arroyo Now With Chief Harris-27:30.mp4)
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18
How would you describe Episode 3?
Keep it simple and use third person point of view.
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19
What is Episode 3's Total Run Time (TRT)?
Please give us the exact run time even if it is over or under the normal TRT's of 27:30 or 57:30.
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20
What is Episode 4's title?
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21
What is Episode 4's file name?
Please make sure it matches the following format: Project Title - Episode Title - Episode Total Run Time (TRT) . File Type (e.g. Arroyo Now-Arroyo Now With Chief Harris-27:30.mp4)
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22
How would you describe Episode 4?
Keep it simple and use third person point of view.
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23
What is Episode 4's Total Run Time (TRT)?
Please give us the exact run time even if it is over or under the normal TRT's of 27:30 or 57:30.
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24
What is Episode 5's title?
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25
What is Episode 5's file name?
Please make sure it matches the following format: Project Title - Episode Title - Episode Total Run Time (TRT) . File Type (e.g. Arroyo Now-Arroyo Now With Chief Harris-27:30.mp4)
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26
How would you describe Episode 5?
Keep it simple and use third person point of view.
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27
What is Episode 5's Total Run Time (TRT)?
Please give us the exact run time even if it is over or under the normal TRT's of 27:30 or 57:30.
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28
Do any of the episodes submitted contain potentially objectionable content?
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This field is required.
No
Yes (If yes, media will be played during "safe harbor" hours)
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29
How do you plan to deliver your media to us?
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Google Drive, Dropbox, or other cloud storage link (please enter this URL on the next page)
Upload content - in person - with a Studio Coordinator
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30
Share your cloud storage link(s) below.
Copy & paste URL(s) from Google Drive, Dropbox, WeTransfer, OneDrive, iCloud, Box, ownCloud, etc. below. Please ensure links are not private.
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31
Any additional notes?
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32
Submission Agreement
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I hereby attest that I am authorized to submit this/these content (audio, video and or still graphics) as described for cablecast on Pasadena Media's Arroyo Channel, community access channel. I certify that the above-mentioned program/programs do not violate the program content guidelines of The Arroyo Channel Rules & Policies. Furthermore, I assume complete responsibility for this program and its contents and agree to indemnify and hold harmless Pasadena Media, its officers, its employees, and its agents from any and all liability associated with the cablecast of this content(s) including copyright, libel, slander or any other potential liabilities. I understand Pasadena Media may reschedule and/or interrupt my programming for any reason. Pasadena Media is not responsible for media and/or files left over 30 days.
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33
What is today's date?
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