Skip to Main Content
Burnsville's COVID-19 Response
I'm Looking For
Select a Category
BCTV Program Submissions
Community Services - Night to Unite
Leisure Estates Neighborhood Tree Order Form
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
Program Series Submission
This form has been modified since it was saved. Please review all fields before submitting.
Attach proof of residency.
Driver's license, state issued I.D., or utility bill with current address are accepted.
Series Title (max. 25 characters)
Series Descriptions (max. 200 characters)
Number of Programs in Series
Frequency of Programs
Topic of Series
Adult Content (check all that apply)
Is this program suitable for viewing by children?
Name of Program Creator
Program Creator Email Address
Program Creator Phone Number
This section is to be completed if you are not the creator of the program, but are sponsoring the playback of the program on BCTV.
Name of Sponsor
Sponsor Email Address
Sponsor Phone Number
Click to read Operational Rules
OPERATIONAL USE POLICIES
I certify that I have read Burnsville Community Television’s OPERATIONAL USE POLICIES, and I understand that I am responsible for the content of the program that I produced for playback on the access channel(s). I understand that if I am sponsoring a series of programs as a resident of Burnsville not made at Burnsville Community Television and/or not produced by me, that I assume the same responsibilities as a producer for the content of the program according to the OPERATIONAL USE POLICIES. I affirm that:
• No lottery information will be cablecast • No obscene/indecent material or language shall be cablecast, nor programs that promote illegal acts. • The program contains no advertising, soliciting for funds, or revenue generating activity. • All clearances have been obtained from performers/talent, stations, sponsors, copyright holders, etc. • If a live cablecast, I have taken reasonable measures to ensure compliance with this statement.
I assume full responsibility for any disputes arising from unauthorized use of copyrighted material. As producer or sponsor, I am solely responsible for the content of this program series.
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
Agendas, Minutes and Videos
Contact a City Department
Meeting & Events Calendar
New Resident Info & Utilities
Public Data Requests
Report a Problem
Slideshow Left Arrow
Slideshow Right Arrow