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Please be sure that your video has a resolution of at least 1280x720 and is no longer than 15 minutes in length.
Please provide the name of your video as well as the length (run time).
1) I, the undersigned, hereby authorize the Town of Concord and its affiliates to photograph me, take motion pictures of me, take video footage of me, and/or make electronic sound recordings of me (herein referred to as photographic or electronic reproductions). The Town of Concord owns the rights to the photographic or electronic reproductions made of me by the Town.
2) I authorize the use of any such photographic or electronic reproductions of me for any purpose, including, but not limited to educational and other public media as may be deemed appropriate by the Town of Concord and its affiliates (I understand that I may be identifiable from such photographic or electronic reproduction) now and in the future.
I certify that I am at least eighteen years of age and am competent to contract in my own name. I have read this release before signing it and fully understand that signing allows the Town of Concord and its affiliates to use my image (photographs and/or video) as they see fit.
All programs submitted must meet technical requirements for audio and video. Programs not meeting these requirements will not be shown on Minuteman Media Network. Programs submitted by producers under age 18 must have the signature of a parent or legal guardian on this form.
I, the undersigned, warrant and represent to MMN that the above program meets the criteria for access programming and that the above material submitted by me contains none of the following:
1. Any material which is obscene, libelous, slanderous, or is otherwise illegal,
2. Any lottery information or material which is intended to defraud the viewer,
3. Any material that is commercial in nature,
4. Any invasion of privacy,
5. Any violation of copyrights, trademarks, or publicity rights which might violate federal, state, or local laws.
These warranties and representations are made by me in order that this program be cablecast on MMN operated access channels. I agree to indemnify and hold harmless MMN, and/or the Town of Concord, their employees, officers, etc., from any and all claims, demands, damages and/or other liabilities which may be made against or arise
Minute Man Media Network Television
Program Submission www.minuteman.media
out of the cablecasting and/or content of the program submitted. Further, I agree to pay Minuteman Media Network, and/or the Town of Concord all legal fees and expenses incurred for the program in connection with any legal proceedings concerning cablecast and/or content of said program. If a program is produced by a member who is under
the age of 18, that member’s parent or legal guardian is responsible for the program’s content and this hold harmless
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
Please indicate which person(s) you are signing for
If you are signing for person(s) other than yourself, please list their legal names here. If you are signing only for yourself, please enter "None"
This field is not part of the form submission.
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