Community Programming Request Request video coverage of a community event. Requester's Name* First Last Requester's Email Address* Enter Email Confirm Email Organization*Not-for-profit* Yes No Is this organization a non- or not-for-profit?EventInformation about the event for which you are requesting video coverage.Name of EventDate of Event* MM slash DD slash YYYY Start Time of Event* : Hours Minutes AM PM AM/PM End Time of Event* : Hours Minutes AM PM AM/PM Description of Event*Describe the event and the community benefit from its coverage.Speakers and PresentersPermission*The sponsoring organization is responsible for getting permission to record and televise this event. I understand and agree On-site ContactInformation about a contact person who will be on-site during the event.Name* First Last Cell Phone*Email* Enter Email Confirm Email ReleaseRelease of Liability*I agree to release all City of North Liberty staff and volunteers from any liability and realize that the requested program may be edited for content, length, and/or clarity at the City’s discretion. I understand and agree
