HomeMy WebLinkAboutOSHKOSH_MEDIA_PROGRAM_APPLICATION_FORM
PROGRAM APPLICATION & AGREEMENT
215 Church Avenue, Oshkosh, WI 54901
(920) 236-5260 www.OshkoshMedia.org
To submit programs to air on Life TV, please be aware of the following policies:
1. Multiple programs can be shared on USB drives, via email or single programs can be shared on DVD.
2. Every program must begin with the Life TV local producer disclaimer.
3. Submitted programs must have a completed Program Application & Agreement Form attached.
4. Programs with incomplete forms will not be played.
For non-series producers:
1. Complete this form and the Oshkosh Media staff will assign a minimum of three replays for your program.
2. Indicate on your form if you would like to be contacted with your assigned replay times.
For series producers (those with recurring shows in a series):
1. Contact Oshkosh Media staff for scheduling a permanent replay time.
2. Complete one of these forms once annually when the first program of the year is submitted.
3. Your form must be submitted to the Oshkosh Media office with the first program.
4. All programs must be submitted 24 hours before first scheduled air time of the week.
5. Programs submitted late may not air until the following replay time.
YOUR NAME/ORGANIZATION:__________________________________________TODAY ’S DATE: ________
ADDRESS: ___________________________________________ CITY: ___________________________
PHONE: _____________________________ EMAIL: _____________________________________________
TITLE OF PROGRAM OR SERIES: _____________________________________________________________
EXACT TIME: ___________ HOURS ____________ MINUTES ___________ SECONDS
REPLAY REQUEST TIMES: Please contact me when you have scheduled the replay times [ ] YES
[ ] YES, this program contains generally offensive material (see section VI. of the Oshkosh Media Poli-
cies & Procedures Manual). A viewer warning disclaimer has been added to the standard Local Resident
Producer Disclaimer. I understand the program will be scheduled for replay during a late night slot
(midnight-4:00 a.m.). (Please submit any generally offensive programs & program forms to Oshkosh Me-
dia staff)
I understand the terms on the reverse of this page. I hereby agree to those conditions for distributing this
program on Life TV.
Applicant Name: _________________________________________________________________________
Applicant Signature: _______________________________________________________________________
Oshkosh Media Program Agreement
1. The applicant hereby accepts full responsibility for the content of the programming
submitted for Life TV. The applicant agrees to indemnify and hold harmless the City of
Oshkosh, any video service providers and Oshkosh Media; their affiliates, officers,
agents and employees from liability, legal fees and other expenses incurred as a result
of distribution of this program or series. (A Life TV Program Application & Agreement
for playback of a program or series is valid and binding for each and every installment).
2. The applicant hereby confirms ownership of all necessary rights to present this pro-
gramming for distribution. As the applicant asserts distribution rights, he/she accepts
legal responsibility for obtaining any and all releases necessary to present audio and/or
video material on Life TV. Responsibility is also accepted by the applicant for insuring
that programming submitted is not obscene, libelous, or otherwise prohibited by law.
3. The applicant agrees to release the City of Oshkosh, Oshkosh Media, video service
providers, their affiliates, officers, agents and employees from responsibility for possi-
ble damage or loss of program material, property and/or media submitted for distribu-
tion.
4. The applicant acknowledges that Oshkosh Media maintains for public inspection a
record of all persons applying for use of Life TV and agrees that this application may
be used for such a record. The applicant certifies that his/her statements on this appli-
cation are true and agrees that false or misleading statements made herein are
grounds for forfeiture of all rights to use community access production equipment and/
or present access programming on Life TV.
5. The applicant has read and is thoroughly familiar with the contents of the Oshkosh
Media Policies and Procedures Manual, and agrees to abide to all procedures listed
within.