You can always press Enter⏎ to continue
Welcome to your Request for Channel Time Form
This form will take approximately 5-10 minutes to complete.
33
Questions
START
1
What is your full name?
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Are you a Pasadena Media Producer Member?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
3
If you answered "NO" to the previous question, please enter your address below.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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
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
Previous
Next
Submit
Press
Enter
4
What is your email address?
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
5
What is your Project / Series Title?
*
This field is required.
Previous
Next
Submit
Press
Enter
6
How many episodes are your submitting?
*
This field is required.
There is a max of 5 submissions per form. If you are submitting more than 5 episodes at once, please use another form.
Previous
Next
Submit
Press
Enter
7
What type of content are you submitting?
*
This field is required.
Video (mp4)
Audio only Podcast (mp3)
Photo Bulletin (jpg or jpeg)
Previous
Next
Submit
Press
Enter
8
What is Episode 1's title?
*
This field is required.
Previous
Next
Submit
Press
Enter
9
What is Episode 1's file name?
*
This field is required.
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)
Previous
Next
Submit
Press
Enter
10
How would you describe Episode 1?
*
This field is required.
Keep it simple and use third person point of view.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
11
What is Episode 1's Total Run Time (TRT)?
*
This field is required.
Please give us the exact run time even if it is over or under the normal TRT's of 27:30 or 57:30.
Previous
Next
Submit
Press
Enter
12
What is Episode 2's title?
Previous
Next
Submit
Press
Enter
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)
Previous
Next
Submit
Press
Enter
14
How would you describe Episode 2?
Keep it simple and use third person point of view.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
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.
Previous
Next
Submit
Press
Enter
16
What is Episode 3's title?
Previous
Next
Submit
Press
Enter
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)
Previous
Next
Submit
Press
Enter
18
How would you describe Episode 3?
Keep it simple and use third person point of view.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
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.
Previous
Next
Submit
Press
Enter
20
What is Episode 4's title?
Previous
Next
Submit
Press
Enter
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)
Previous
Next
Submit
Press
Enter
22
How would you describe Episode 4?
Keep it simple and use third person point of view.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
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.
Previous
Next
Submit
Press
Enter
24
What is Episode 5's title?
Previous
Next
Submit
Press
Enter
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)
Previous
Next
Submit
Press
Enter
26
How would you describe Episode 5?
Keep it simple and use third person point of view.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
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.
Previous
Next
Submit
Press
Enter
28
Do any of the episodes submitted contain potentially objectionable content?
*
This field is required.
No
Yes (If yes, media will be played during "safe harbor" hours)
Previous
Next
Submit
Press
Enter
29
How do you plan to deliver your media to us?
*
This field is required.
Google Drive, Dropbox, or other cloud storage link (please enter this URL on the next page)
Upload content - in person - with a Studio Coordinator
Previous
Next
Submit
Press
Enter
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.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
31
Any additional notes?
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
32
Submission Agreement
*
This field is required.
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.
Clear
Previous
Next
Submit
Press
Enter
33
What is today's date?
*
This field is required.
/
Date
Month
Day
Year
1
2
3
4
5
6
7
8
9
10
11
12
1
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
53
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
PM
AM
PM
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
33
See All
Go Back
Submit