Off-Air Recording

Off-Air Recording Request Form

Verification of request will be emailed to you.

Requestor
Date Submitted (mm/dd/yyyy)
School Building
Phone Number
Email	Confirmation of request receipt will be email to this address.
Off-Air Taping
Off-Air Program Title
Channel
Air Date(s) (mm/dd/yyyy)
Time Aired
Length
Is the program part of a series? (i.e., History Channel)	Yes   No
If Yes:
How many programs are to be recorded?
Are all air dates for each  program listed above?	Yes  No - If no, list additions dates below.
Additional dates (mm/dd/yyyy)