Your Courts Up Close Registration Form

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I hereby authorize the Nineteenth Judicial Circuit of Florida and its employees to conduct a review of my background as a condition precedent to attending Your Courts Up Close with the Nineteenth Judicial Circuit Court. I furthermore release and hold harmless all parties involved from any liability and responsibility for doing so.  To the best of my knowledge, all the information provided is accurate, true and correct.  I attest that I fully understand the terms of this release.