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Agreement
with Policies
I have read, am familiar
with, and agree to abide by the West Hartford Community Television STATEMENT
OF POLICIES, which is incorporated herein by reference, and, in addition,
agree and state that:
- I am thoroughly
familiar with the nature of the program material and take full responsibility
for its content.
- I understand that
the material to be taped will be used for programming on West Hartford
Community Television.
- I agree to obtain
all necessary clearances and permissions from any and all organizations,
individuals, and groups as may be needed to tape and cablecast material
on West Hartford Community Television.
- I agree to hold
harmless and indemnify West Hartford Community Television, Inc. and
all cable providers; their employees, agents, and directors from any
and all liability, loss, claim, cost, or damage of any nature whatsoever
which may arise as a result of any material I have produced or provided.
Must be completed
in full:
| PRODUCER'S
OR PROVIDER'S NAME (Must be a West Hartford Resident) |
| (please
print) _______________________________________________ |
| PHONE NUMBER:
(Home) ____________________ |
(Work)________________ |
| ADDRESS: ________________________________________________ |
ZIP___________________ |
| SIGNATURE: _______________________________________________ |
DATE________________
|
| PROGRAM
NAME: __________________________________________ |
| SERIES NAME (if
applicable)___________________________________ |
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