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I hearby authorize the National Council of Juvenile and Family Court Judges (NCJFCJ), the Center for Court Innovation (CCI) and the Judicial Engagement Network (JEN) to use my photo and/or information related to my experiences with and/or participation in the Judicial Engagement Network’s Judicial Leadership Fellowship Program including the JEN Judicial Leadership Summit on Domestic Violence 3.0, November 11-13, 2019 in Oklahoma City, OK. I understand that this information may be used in publications, including electronic publications, audiovisual presentations, promotional literature, advertising, community presentations, on NCJFCJ’s social media pages (Facebook and Twitter) and NCJFCJ’s and NCJFCJ’s and CCI’s program-specific websites, and/or other similar ways. I hereby waive any right that I may have to inspect or approve the finished product(s), advertising copy, or other matter that may be used in connection therewith or the use to which it may apply.

My consent is freely given to the NCJFCJ and CCI without expecting payment. I release the NCJFCJ and CCI and their respective legal representatives and their assigns, including employees, officers, and agents from all liability that may arise from the use of such social media, websites, news media stories, promotional materials, written articles, videotape, and/or photographs.

I understand that I can revoke this release at any time, in writing, and that the use of any of my photos or other information authorized by this release will immediately cease.

I understand that consent cannot be a condition of my attendance or participation at the JEN Judicial Leadership Summit on Domestic Violence 3.0, November 11-13, 2019 in Oklahoma City, OK, and that consent cannot be presumed because I attend or participate in these events.