Hōʻike Certification Forms

Producer Name*

First NameLast Name

Producer Email*

example@example.com

Producer Phone Number*

Please enter a valid phone number.

Producer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Producer ID Number & Type

Provide a copy of your ID to Administrative Assistant upon first class

ID: Upload a picture of the front of your ID.

I am under 18 years of age*

YesNo

Hōʻike is a 501(c)3 tax-exempt charitable P.E.G. access television corporation. Our mission is to promote and provide fair and equal access opportunities to residents of the County of Kaua'i in presenting non-commercial programs via Public, Educational and Government channels. As such, we will not censor you, limit your airtime, or restrict your message in any way.

By signing this registration form:

I agree to save and hold harmless Hōʻike: Kauai Community Television, its Board of Directors, Management and Staff from any liability that may arise in the use of Hōʻike's equipment or facilities.
I understand and agree that the privilege of access to Hōʻike's equipment and facilities is dependent upon adherence to all rules and regulations (expressed and implied) but not limited to those listed below. Failure to comply with the rules and regulations may result in consequences up to and including revocation of all privileges and access as determined by Hōʻike Management.

HŌʻIKE RULES

Hōʻike equipment and facilities are intended to produce content for cable broadcast on the PEG channels first. No alternative distribution or use is allowed until the program has appeared on Hōʻike. Material generated by Hōʻike equipment but not aired on Hōʻike is restricted from any and all distribution on any platform.
Project objectives shall remain consistent with a clearly identifiable project "title" for all equipment use.
Hōʻike, the equipment and facilities are for non-commercial use only- there are no exceptions. If the equipment is found to be used in any commercial or private personal means the Producer agrees to pay full commercial rental charges for the equipment and facilities used in the non-approved production. There shall be no calls to action, no mention of charges or pricing or fund raising. Absolutely no commercial content.
The Producer agrees to bear full responsibility for the safe care and use of the Hōʻike equipment and facilities and agrees to pay for any damages, loss or excessive wear in the event of such occurrence.

MEDIA RELEASE AGREEMENT

Consent: I voluntarily and without any coercion grant Hōʻike Kaua’i Community Media, Inc. (“Organization”), its representatives, and employees permission to use my image, likeness, and voice, as captured in photographs and/or videos, for promotional, educational, or informational purposes on social media platforms, including but not limited to Facebook, Twitter, Instagram, and YouTube.

Ownership: I acknowledge that all photographs and videos taken by the Organization are and will remain the property of the Organization.

Usage Rights: I grant the Organization the right to edit, crop, modify, or otherwise alter the photographs and videos at their discretion. I understand that the Organization has no obligation to use any photographs or videos taken of me.

Release: I release the Organization, its representatives, and employees from any and all claims, liabilities, or demands arising out of or in connection with the use of my image, likeness, or voice, including any claims for defamation, invasion of privacy, or rights of publicity.

Confidentiality: I understand that the Organization will make reasonable efforts to protect my personal information, but I acknowledge that the images may be shared on public platforms and may be viewed by a wide audience. I agree that the Organization is not responsible for any unauthorized use or sharing of the images by third parties.

Compensation: I understand that I will not receive any financial compensation for the use of my image, likeness, or voice. This release is provided on a voluntary basis and without any expectation of monetary or other compensation.

Revocation of Consent: I understand that I may revoke this consent in writing at any time. However, any photographs or videos taken prior to the revocation may continue to be used by the Organization.

Producer Signature

Producerʻs (minor) Date of Birth*

Date

Parent/Guardian Name*

First NameLast Name

Parent/Guardian Email*

example@example.com

Parent/Guardian Phone Number*

Please enter a valid phone number.

Hōʻike Kauaʻi Community Media requires parental consent for producers under the age of 18 who wish to borrow equipment. Parents/guardians remain fully responsible and liable for the proper use, care, return, and any loss or damage to equipment in accordance with Hōʻike’s policies and agreements.

Consent Options*

Parent/Guardian Must Be Present: I consent to my child borrowing equipment from Hōʻike only when I am present to sign out the equipment.Minor May Pick Up Equipment Alone I consent to my child borrowing equipment from Hōʻike without my presence. I understand and agree that: My child may check out equipment alone, but I remain fully responsible for the care, proper use, and timely return of the equipment. I accept full financial responsibility for repair, replacement, or costs associated with loss, theft, or damage of the equipment while in my child’s possession, as required by Hōʻike policies.

By writing my full name below I agree to all the terms above for both myself and my child.

Parent/Guardian ID: Upload a picture of the front of your ID.*

Parent/Guardian Signature*

First NameLast Name