I have read this document and am familiar with the GRTV Programming Policy

I am thoroughly familiar with the content of this program. I hereby state that it does not contain:

• Obscene material
• Commercial advertising or commercial solicitation of any kind
• A lottery, or an advertisement or information concerning any lottery
• Any promotional material concerning products or services presented for the purpose of any solicitation of money or other things of value
• Any material which constitutes libel, slander, invasion of privacy or publicity rights, unfair competition, violation of trademark or copyright, or which might violate any local, state or federal law
• Indecent exposure as defined by local, state or federal law

I assume full responsibility for the content of all program material I am submitting for cablecast and webcast and ensure that such program material does not violate any right of any third party

I have obtained or, before the programming material is cablecast, will obtain, all approvals, clearances, licenses, etc. for the use of any program material to be cablecast, INCLUDING BUT NOT LIMITED TO approvals by broadcast stations, networks, underwriters, music licensing organizations, copyright owners, performers' representatives, all persons appearing in or referred to in the program material, and any other approvals that may be necessary to transmit program material over GRTV. In the event of a dispute or challenge, GRTV may require evidence of clearances prior to further program distribution

I indemnify and hold harmless the Grand Rapids Cable Access Center, Inc., its directors, officers, and staff, against any claims arising out of any use of this program material I submit for cablecast and webcast or for any breach of this Statement of Compliance, 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. I understand that I may be criminally liable for performing or producing such material which is cablecast or webcast.

I agree that I shall not represent myself or any other person involved in community access cablecasting or productions as an employee, representative or agent of the Community Media Center, or of GRTV, or of the local cable company/companies, or of the City of Grand Rapids.

I shall not use GRTV channels, equipment or facilites for any financial gain or other commercial purposes. I understand that programming produced with GRTV equipment MUST appear on the GRTV public access channel.

I undertand I am required to disclose on this Application for Cablecast & Statement of Compliance whether any program submitted contains adult content, and I agree that such programming will be aired on GRTV between the hours of 10pm and 6am

I understand that false or misleading statements made in this Application for Cablecast & Statement of Compliance are grounds for forfeiture of the right to use GRTV public access equipment and facilities.

I understand that the Application for Cablecast & Statement of Compliance will be on file at GRTV and available to any local person to view during normal business hours. Persons wishing to view such material will be asked to sign a release form containing their name(s), address(es) , and phone number(s).

I understand that my program(s) will be cablecast and webcast based on information provided on the Application for Cablecast & Statement of Compliance. Any errors or inconsistencies may result in aborted playback. Repeat violations may result in denial of my right to cablecast on GRTV.