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Juvenile Justice Class Registration
Juvenile Justice Class Registration
Juvenile Information
Which class are you registering for?
- Select -
Anger Management
Shoplifting Alternative
YES - Youth Emerge Straight
Juvenile's full name
Juvenile's physical address
Address Line 1
Address Line 2
City
State
Zip Code
Juvenile's phone number
Can the juvenile receive text messages from the Office on Youth?
Yes
No
Juvenile's email
Parent/Legal Guardian Information
Parent(s)' name
Home phone number
Are you willing to receive text messages from the Office on Youth?
Yes
No
Cell phone
Email address of legal guardian
Court information
Name of probation officer
Which court are you involved with?
Augusta County Juvenile Court
Staunton Juvenile Court
Waynesboro Juvenile Court
Other
Date of up-coming court case?
Submit Form