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Registration

Home/Registration
RegistrationAli Darden2023-03-22T20:50:29+00:00

2023 GA CASA Conference

Registration form for 2023 Georgia CASA Conference
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  • Photo Release

    I understand that by registering for the 2023 Georgia CASA Conference, I hereby voluntarily and without compensation authorize and consent that Georgia CASA, its legal representatives, successors, or assigns, shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, videotapes, or other media material, and/or sound recordings, interview or any part thereof, they may take or make of me on this date or in which I may be included in whole or part, whether apart from or in connection with illustrative or written printed matter, story or news item, motion pictures, or online, or for any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproduction thereof in color or otherwise.

    I hereby waive all claims for any compensation for such use or for damages. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I hereby warrant that I am of lawful age and have the legal capacity to contract in my own name in the above regard. I state further I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof. If I am under the age of 18, my parent or guardian attests that he or she has read and understands the above consent and release, and agrees to it.

  • Photo Release

    I understand that by registering for the 2023 Georgia CASA Conference, I hereby voluntarily and without compensation authorize and consent that Georgia CASA, its legal representatives, successors, or assigns, shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, videotapes, or other media material, and/or sound recordings, interview or any part thereof, they may take or make of me on this date or in which I may be included in whole or part, whether apart from or in connection with illustrative or written printed matter, story or news item, motion pictures, or online, or for any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproduction thereof in color or otherwise.

    I hereby waive all claims for any compensation for such use or for damages. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I hereby warrant that I am of lawful age and have the legal capacity to contract in my own name in the above regard. I state further I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof. If I am under the age of 18, my parent or guardian attests that he or she has read and understands the above consent and release, and agrees to it.

  • Photo Release

    I understand that by registering for the 2023 Georgia CASA Conference, I hereby voluntarily and without compensation authorize and consent that Georgia CASA, its legal representatives, successors, or assigns, shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, videotapes, or other media material, and/or sound recordings, interview or any part thereof, they may take or make of me on this date or in which I may be included in whole or part, whether apart from or in connection with illustrative or written printed matter, story or news item, motion pictures, or online, or for any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproduction thereof in color or otherwise.

    I hereby waive all claims for any compensation for such use or for damages. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I hereby warrant that I am of lawful age and have the legal capacity to contract in my own name in the above regard. I state further I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof. If I am under the age of 18, my parent or guardian attests that he or she has read and understands the above consent and release, and agrees to it.

  • Photo Release

    I understand that by registering for the 2023 Georgia CASA Conference, I hereby voluntarily and without compensation authorize and consent that Georgia CASA, its legal representatives, successors, or assigns, shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, videotapes, or other media material, and/or sound recordings, interview or any part thereof, they may take or make of me on this date or in which I may be included in whole or part, whether apart from or in connection with illustrative or written printed matter, story or news item, motion pictures, or online, or for any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproduction thereof in color or otherwise.

    I hereby waive all claims for any compensation for such use or for damages. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I hereby warrant that I am of lawful age and have the legal capacity to contract in my own name in the above regard. I state further I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof. If I am under the age of 18, my parent or guardian attests that he or she has read and understands the above consent and release, and agrees to it.

  • Photo Release

    I understand that by registering for the 2023 Georgia CASA Conference, I hereby voluntarily and without compensation authorize and consent that Georgia CASA, its legal representatives, successors, or assigns, shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, videotapes, or other media material, and/or sound recordings, interview or any part thereof, they may take or make of me on this date or in which I may be included in whole or part, whether apart from or in connection with illustrative or written printed matter, story or news item, motion pictures, or online, or for any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproduction thereof in color or otherwise.

    I hereby waive all claims for any compensation for such use or for damages. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I hereby warrant that I am of lawful age and have the legal capacity to contract in my own name in the above regard. I state further I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof. If I am under the age of 18, my parent or guardian attests that he or she has read and understands the above consent and release, and agrees to it.

  • Photo Release

    I understand that by registering for the 2023 Georgia CASA Conference, I hereby voluntarily and without compensation authorize and consent that Georgia CASA, its legal representatives, successors, or assigns, shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, videotapes, or other media material, and/or sound recordings, interview or any part thereof, they may take or make of me on this date or in which I may be included in whole or part, whether apart from or in connection with illustrative or written printed matter, story or news item, motion pictures, or online, or for any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproduction thereof in color or otherwise.

    I hereby waive all claims for any compensation for such use or for damages. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I hereby warrant that I am of lawful age and have the legal capacity to contract in my own name in the above regard. I state further I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof. If I am under the age of 18, my parent or guardian attests that he or she has read and understands the above consent and release, and agrees to it.

  • Photo Release

    I understand that by registering for the 2023 Georgia CASA Conference, I hereby voluntarily and without compensation authorize and consent that Georgia CASA, its legal representatives, successors, or assigns, shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, videotapes, or other media material, and/or sound recordings, interview or any part thereof, they may take or make of me on this date or in which I may be included in whole or part, whether apart from or in connection with illustrative or written printed matter, story or news item, motion pictures, or online, or for any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproduction thereof in color or otherwise.

    I hereby waive all claims for any compensation for such use or for damages. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I hereby warrant that I am of lawful age and have the legal capacity to contract in my own name in the above regard. I state further I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof. If I am under the age of 18, my parent or guardian attests that he or she has read and understands the above consent and release, and agrees to it.

  • Photo Release

    I understand that by registering for the 2023 Georgia CASA Conference, I hereby voluntarily and without compensation authorize and consent that Georgia CASA, its legal representatives, successors, or assigns, shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, videotapes, or other media material, and/or sound recordings, interview or any part thereof, they may take or make of me on this date or in which I may be included in whole or part, whether apart from or in connection with illustrative or written printed matter, story or news item, motion pictures, or online, or for any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproduction thereof in color or otherwise.

    I hereby waive all claims for any compensation for such use or for damages. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I hereby warrant that I am of lawful age and have the legal capacity to contract in my own name in the above regard. I state further I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof. If I am under the age of 18, my parent or guardian attests that he or she has read and understands the above consent and release, and agrees to it.

  • Photo Release

    I understand that by registering for the 2023 Georgia CASA Conference, I hereby voluntarily and without compensation authorize and consent that Georgia CASA, its legal representatives, successors, or assigns, shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, videotapes, or other media material, and/or sound recordings, interview or any part thereof, they may take or make of me on this date or in which I may be included in whole or part, whether apart from or in connection with illustrative or written printed matter, story or news item, motion pictures, or online, or for any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproduction thereof in color or otherwise.

    I hereby waive all claims for any compensation for such use or for damages. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I hereby warrant that I am of lawful age and have the legal capacity to contract in my own name in the above regard. I state further I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof. If I am under the age of 18, my parent or guardian attests that he or she has read and understands the above consent and release, and agrees to it.

  • Photo Release

    I understand that by registering for the 2023 Georgia CASA Conference, I hereby voluntarily and without compensation authorize and consent that Georgia CASA, its legal representatives, successors, or assigns, shall have the absolute right to copyright, publish, use, sell or assign any and all photographic portraits or pictures, videotapes, or other media material, and/or sound recordings, interview or any part thereof, they may take or make of me on this date or in which I may be included in whole or part, whether apart from or in connection with illustrative or written printed matter, story or news item, motion pictures, or online, or for any other lawful purpose whatsoever, in conjunction with my own or fictitious name, or in reproduction thereof in color or otherwise.

    I hereby waive all claims for any compensation for such use or for damages. I hereby waive any right I may have to inspect and/or approve the finished product or the advertising copy that may be used in connection therewith or the use to which it may be applied. I hereby warrant that I am of lawful age and have the legal capacity to contract in my own name in the above regard. I state further I have read the above authorization and release, prior to its execution, and that I am fully familiar with the contents thereof. If I am under the age of 18, my parent or guardian attests that he or she has read and understands the above consent and release, and agrees to it.

  • The safety of our guests is paramount to creating a positive learning environment. In addition to any other risks posed by participating in a training or meeting, there is a potential risk of exposure to COVID-19 and other harmful virus or bacteria. As such, all staff, presenters, attendees, and guests must take the necessary safety precautions prior to in-person attendance at a CASA-sponsored meeting or training. These precautions include monitoring current health status and refraining from in-person attendance if any symptoms exist; complying with all public health and governmental guidance in place at the time of the event; and if not fully vaccinated, wearing a mask when in close contact with others.
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  • Contact Shauna Hightower, if paying via check.
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75 Marietta St. NW
Suite 404
Atlanta, GA 30303

404.874.2888
800.251.4012
fax 404.874.2889

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