Request for Channel Time Form

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What is your full name?* This field is required.
First Name
Last Name
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Are you a Pasadena Media Producer Member?* This field is required.
YESNO
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If you answered "NO" to the previous question, please enter your address below.SKIP TO THE NEXT QUESTION IF YOU ANSWERED "YES"
Street Address
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Monaco
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Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
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New Caledonia
New Zealand
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Pakistan
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Poland
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eSwatini
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Isle of Man
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Western Sahara
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Other
Country
4
What is your email address?* This field is required.
example@example.com
5
What is your Show Project Title?* This field is required.
6
How many episodes are you submitting?* This field is required.There is a maximum of 5 episode submissions per form. If you are submitting more than 5 episodes, please complete and submit an additional form.
7
What type of content are you submitting?* This field is required.
Audiovisual / Video (.mp4)
PSA (.mp4)
Photo Bulletin (.jpg or .jpeg)
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What is Episode 1's title?* This field is required.
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What is Episode 1's file name?* This field is required.Please make sure it matches the following format: Show Project Title - Episode Title - Episode Total Run Time (TRT).File Type EXAMPLE: Arroyo Now-Arroyo Now With Chief Harris-27:30.mp4)
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How would you describe Episode 1?* This field is required.Please provide a brief episode description, written in third person.
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Ok
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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.
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What is Episode 2's title?
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What is Episode 2's file name?Please make sure it matches the following format: Show Project Title - Episode Title - Episode Total Run Time (TRT).File Type EXAMPLE: Arroyo Now-Arroyo Now With Chief Harris-27:30.mp4)
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How would you describe Episode 2?Please provide a brief episode description, written in third person.
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Ok
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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.
16
What is Episode 3's title?
17
What is Episode 3's file name?Please make sure it matches the following format: Show Project Title - Episode Title - Episode Total Run Time (TRT).File Type EXAMPLE: Arroyo Now-Arroyo Now With Chief Harris-27:30.mp4)
18
How would you describe Episode 3?Please provide a brief episode description, written in third person.
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Ok
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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.
20
What is Episode 4's title?
21
What is Episode 4's file name?Please make sure it matches the following format: Show Project Title - Episode Title - Episode Total Run Time (TRT).File Type EXAMPLE: Arroyo Now-Arroyo Now With Chief Harris-27:30.mp4)
22
How would you describe Episode 4?Please provide a brief episode description, written in third person.
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Small
Ok
Ok
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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.
24
What is Episode 5's title?
25
What is Episode 5's file name?Please make sure it matches the following format: Show Project Title - Episode Title - Episode Total Run Time (TRT).File Type EXAMPLE: Arroyo Now-Arroyo Now With Chief Harris-27:30.mp4)
26
How would you describe Episode 5?Please provide a brief episode description, written in third person.
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Ok
Ok
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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.
28
What days and times are you interested in broadcasting your content?While requests are not guaranteed, this information will help our Channel Manager review availability and determine potential scheduling options.
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Do any of the episodes submitted contain potentially objectionable content?* This field is required.Content that may include strong language, mature themes, violence, sensitive subject matter, or other material that some audiences may find inappropriate?
No
Yes (If yes, media will be played during "safe harbor" hours)
Not sure
30
How do you plan to deliver your media to us?* This field is required.PLEASE NOTE: Ensure all files are clearly labeled to match the file names listed in this form so our Channel Manager can easily identify and access them.
Google Drive show folder (shared by Studio Coordinator/staff)
Dropbox or other cloud storage link (provide the URL on the next question)
Upload content in person with a Studio Coordinator (Edit Bay)
31
Share your cloud storage link(s) below.Copy and paste the URL(s) from Google Drive, Dropbox, WeTransfer, OneDrive, iCloud, Box, ownCloud, or any other cloud storage service below. PLEASE NOTE: Ensure all links are publicly accessible and not set to private.
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Any additional notes, questions, or concerns?* This field is required.
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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.
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What is today's date?* This field is required.
Date
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