Fill - Free fillable Karl G. Jansky Very Large Array Application for (National Radio Astronomy Observatory) PDF form

National Radio Astronomy Observatory

Karl G. Jansky Very Large Array

Application for Commercial Filming / Photography

Applicant Information:

Company Name: ______________________________________________________________________

Address: _____________________________________________________________________________

Pr

oject Name: _________________________________________________________________________

Contact Name: ________________________________________________________________________

Contact Title: __________________________________________________________________________

Contact Phone No. (s)________________________ Email Address: ______________________________

_________________________

Type of Shoot:

Feature Film Television Commercial Documentary Still Photo/Time lapse Other

Req

uested VLA Locations:

Exterior: _____________________________________________________________________________

Interior (Limited Availability): _____________________________________________________________

Base Camp: ___________________________________________________________________________

Catering: _____________________________________________________________________________

Date(s) of requested shoot:

Set-up: ______/______/______ Shoot: ______/______/_______ Tear-down: ______/______/_______

National Radio Astronomy Observatory

Karl G. Jansky Very Large Array

Application for Commercial Filming / Photography

Please provide a detailed filming description:

Describe in detail the project purpose and/or show description. (use additional sheets if necessary)

_____________________________________________________________________________________

National Radio Astronomy Observatory

Karl G. Jansky Very Large Array

Application for Commercial Filming / Photography

What does the scene at the VLA illustrate?

_____________________________________________________________________________________

How will NRAO and VLA be portrayed?

_____________________________________________________________________________________

If a NRAO staff interview is requested, what will the topic be?

_____________________________________________________________________________________

Please note: For final approval of the filming, the Observatory may require you to submit the full script.

National Radio Astronomy Observatory

Karl G. Jansky Very Large Array

Application for Commercial Filming / Photography

Cast and Crew Information:

Number of

Cast__________ Crew __________ Extras __________ Passenger Vehicles __________

Vehicles and Equipment:

Number of

Large Trucks ____ Camera Cars ____ Camera Dolly/Track ____ Cameras ____ Condors ____ Cranes ____

Box or stake trucks ____ Generators (Diesel Only) ____ Motor Home/Trailers ____ Portable Lights ____

Portable Restrooms ____ Reflector Boards ____ Scissor Lifts ____ Tripods ____ Other _______________

Special Activities:

Stunts: _______________________________________________________________________________

Pyrotechnics: __________________________________________________________________________

Aerial photography or use of aircraft: ______________________________________________________

Use of Animals: ________________________________________________________________________

Other: _______________________________________________________________________________

Anticipated need for NRAO/VLA personnel or Equipment:

_____________________________________________________________________________________

National Radio Astronomy Observatory

Karl G. Jansky Very Large Array

Application for Commercial Filming / Photography

Catering / Craft Services:

Please NOTE: Ensure that catering and craft service firms are aware of and agree to abide by the

requirements pertaining to these functions contained in the “Commercial Photography and Filming at

the Very Large Array” document.

Catering Company Name: _______________________________________________________________

Caterer Contact Name/Title: _____________________________________________________________

Caterer Phone No.: ____________________________ Caterer Email: ____________________________

Catering Electrical and Electronic Equipment: (anything that uses electricity)

_____________________________________________________________________________________

Craft Company Name: _______________________________________________________________

Craft Contact Name/Title: _____________________________________________________________

Craft Phone No.: ____________________________ Craft Email: ____________________________

Craft Electrical and Electronic Equipment: (anything that uses electricity)

_____________________________________________________________________________________

NOTE: ALL electronic equipment brought onto the VLA site must be approved by NRAO.

Microwave ovens, Cell phones, 2-way radios, Wi-Fi, and Bluetooth are all prohibited.

National Radio Astronomy Observatory

Karl G. Jansky Very Large Array

Application for Commercial Filming / Photography

For all items listed below please provide how many of each item and the make and model of each:

Video / Movie Camera(s): ________________________________________________________________

Still Camera(s): ________________________________________________________________________

Camera Controller(s): ___________________________________________________________________

Audio Equipment: ______________________________________________________________________

NOTE: Wireless microphones must be pre-approved by NRAO, and may not be permitted.

Generators (DIESEL ONLY): _______________________________________________________________

Other: _______________________________________________________________________________

NRAO 2-way radios are available for rent, would like to rent some?

Yes No

Liability Insurance:

Insurance Company Name: ______________________________________________________________

Insurance Company Contact: _____________________________________________________________

National Radio Astronomy Observatory

Karl G. Jansky Very Large Array

Application for Commercial Filming / Photography

Affirmation:

I have read and understand the National Radio Astronomy Observatory's production requirements,

rules, and fees, as described in the document "Commercial Photography and Filming at the Very Large

Array," a signed copy of which accompanies this application. I affirm that the filming or photography I

am proposing can abide by all NRAO guidelines contained in the aforementioned document. On behalf

of the production company, I agree to the Hold Harmless and Liability provisions of the aforementioned

document. I certify that I am authorized to act on behalf of and to bind the production company to

these conditions.

Print Name: ___________________________________________________________________________

Title: ________________________________________________________________________________

Date: ________________________________________________________________________________

Signature: ____________________________________________________________________________

For questions or concerns please contact:

Dave Finley

Public Information Officer

(575) 835-7302

dfinley@nrao.edu

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