2. Request Video Services for a Community Event
   CoralVision is the City of Coralville's government video service. We help make community-focused information available to the public. CoralVision video programs include public government meeting coverage, City of Coralville communications, public service announcements, educational videos, and presentations.
4. CoralVision accepts requests for free video coverage for Coralville-area or Johnson County-based non-profit organizations for select events. Video productions air on Mediacom cable in Coralville and online. Live social media streaming may be available for select events. We may share videos, at our discretion, with other Johnson County governments channels.
6. Eligible programs may not solicit funds or property of value from viewers, may not advertise the sale of products or services, and may not promote or endorse a trade or business. In accordance with federal, state, and local law, programs may not include gambling or obscenity/pornography. Additional restrictions may apply.
8. To request video production services, and to see if your event is eligible and if staff is available, please complete and submit this form at least three weeks in advance. Submitting this form does not confirm a reservation. Once your request is received and reviewed, a staff member will contact you.
12. Contact Information
14. Contact person
15. Phone Number
16. Email Address
18. Organization name
19. Is this a non-profit organization?

    1. Yes
    2. No
23. Event Overview
25. Event name*
26. Event or organization website or social media
28. Event type*
    -- Select One --Lecture/PresentationPublic meetingPanel/Group discussionStaged productionOther
29. If other, explain*
31. Event date & start time*
    Event date & start time

    Event date & start time
32. Event end time*
    Event end time
33. Event location*
    We need access at least two hours before the event to set up our equipment (you will need to make sure the doors are unlocked or somebody is there to meet us). We are not responsible for setting up for the event itself (audience chairs, presenter podium, etc.).
35. Event description*
37. Is this free and open to the public?*

    1. Yes
    2. No
38. Is the City of Coralville an official event sponsor?*

    1. Yes
    2. No
40. Video purpose*
41. Will you need a copy of the final video?*

    1. Yes
    2. No

    We can provide a link to the video, which you can share with your organization.
45. Event Details
47. Number of people speaking*
48. Speaker name(s) & title(s)
50. Media you are using*

    1. Digital presentation (PowerPoint)
    2. Video
    3. Audio/music
    4. Website
    5. Other
    6. None
51. If other media, explain
53. Microphones*
    -- Select One --These will be provided by the locationThe location does not have microphones. We would like you to provide them, if possibleI don't know

    To capture sound for video, anyone speaking must use a microphone. Microphones will be used for our video production and will not be used to amplify sound at the event.
55. Comments or questions
59. Permission to Record/Televise & Copyright Authorization*

    I understand that I am responsible for getting permission from speakers/presenters to record and distribute their content. I also understand that CoralVision cannot record or air programs containing copyright materials without copyright clearance. I understand that I am responsible for getting copyright permission; any copyright infringement concerns or violations are the sole responsibility of the event organizer(s).

    1. Yes, I understand and agree
61. Release of Liability*

    I agree to release and hold harmless the City of Coralville, its agents, and employees from any liability arising from CoralVision's video production services. I agree this program may be edited at the City's sole discretion.

    1. Yes, I understand and agree
Leave This Blank:


63. 1. Receive an email copy of this form.
64. Email address

    This field is not part of the form submission.

65. Submit

* indicates a required field