All required fields are shown in bold.

WCNY / Satellite Taping Request Form

School District and Building:

 (ex. Ca-On BOCES)

Individual Program Title:

 (ex. Google and You)

Name of Series:

 (ex. Webhelp Series)
 
If your program in on WCNY then enter "WCNY" into the Satellite box, otherwise fill in the satellite number your program is on.

Date of Broadcast:// Satellite: Time:
 
I, , affirm that this video program will be used for educational purposes only. The tape will not be duplicated and it will be returned to BOCES to be erased.
 

Email Address:

 (ex. you@domain.com)