I'd Like to Make Radio on Wellington Access Radio 
Please fill this form out for your programme. 

If you have any questions please contact pip@accessradio.org.nz
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Name
Pronouns
Phone
Email
Programme Name
Tell us about your show (short description of your idea)
Language/s
Names and contact details (cell phone number or email address) of any other Access Society members who will be using the Access studio facilities
Duration
Clear selection
Is your programme by, for and about any of the following:
Are you under 18 years old? *
If you answered yes, please provide a name, email & phone number for an appropriate adult contact (i.e. parent/guardian/teacher) that we can get in touch with. 

Date
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