Comcast-Seymour

Access User Agreement

1. I have read and am thoroughly familiar with the contents of the Comcast operating rules.

2. As an access producer, I will be responsible for the content of program material to be taped and/or cablecast by me and agree that such program material will not include.

a. any obscene material;

b. any lottery or lottery information;

c. any advertising

d. any direct or indirect solicitation of money, except where exempted under these rules;

e. any material which constitutes libel, slander, invasion of privacy or publicity rights, violation of trademark or copyright, or which might violate any local, state or federal law.

3. I acknowledge that the access producer is responsible for obtaining all approvals, clearances, licenses, etc. for the use of those program materials; including, but not limited to, approvals by broadcast stations, networks, sponsors, music licensing organizations, copyright owners, performer's representatives, persons appearing in the program material and any other approvals that might be necessary in order to cablecast the program on Comcast.

4. I indemnify and hold Comcast harmless against any claims arising out of any use of the program material that I cablecast or any breach of this Access User Agreement; including, but not limited to, any claims in the nature of libel, slander, invasion of privacy or publicity rights, noncompliance with applicable laws and unauthorized use of copyrighted material.

5. I agree that I shall not represent myself or any other person involved in programming as an employee, representative, or agent of Comcast, unless specifically authorized by Comcast to do so.

6. I understand that I may be liable for the costs of any repair or replacement of equipment or materials resulting from damage beyond reasonable wear and tear through normal use, misuse, or theft while such equipment or materials are in my possession or control. I understand the penalties that apply if equipment or materials are not returned on time. I also indemnify Comcast against any damage or liability incurred while using the equipment.

7. I shall not use Comcast channels, equipment, or facilities for any financial gain or other commercial purposes. I understand that programming produced with Comcast's equipment or facilities shall be for the purpose of public access.

8. I understand that violation of the terms of this statement is grounds for forfeiture of the right to use Comcast equipment, facilities or channel time.

9. I have been instructed on how the access equipment I am borrowing is to be safely handled, including the storage and lifting of

it in and out of my vehicle and/or dwelling.

*Access Provider* (Franchise Resident) – Please print, sign and return with proof of address
*Print Full Name:*
Full Address: Street, Town & Zip:
Proof of Address Provided:	Circle One … ID / Driver’s License / Utility Bill / Other:_________________
Email:
Home Phone:
Work Phone:
Cell Phone/other:
*SIGNED* (if under 18, must be signed by a parent or legal guardian)		*Date:*
*Staff Use Only*
Circle One to verify … Access User’s address verified by ID / DL / Utility Bill / Other: __________________
*Approved by:*		*Date:*

PRODUCER INFORMATION

*Producer/Provider* (Please print, sign and return with proof of address)
*Program Title:*
Program Description:
Program Length:
Circle One:	Special Weekly Series Biweekly Monthly
*Producer Name (if other than Provider):*
ORGANIZATION: (if non-profit):
Non-Profit Tax ID (501c3) #:
Organization Address: Street, Town & Zip:
Phone:
Email:
Cell Phone/Other:
*SIGNED* (if under 18, must be signed by a parent or legal guardian)		*Date:*
*Staff Use Only*
Circle One to verify … Access User’s address verified by ID / Driver’s License / Utility Bill / Other: _____________
*Approved by:*		*Date:*

Desired Cablecast Day
Alternate Days
Desired Cablecast Time
Alternate Times

Mail To:

Channel 10 – Comcast

80 Great Hill Road

Seymour, CT 06483

Fax: 734-3425