Juvenile Justice Class Registration

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Which class are you registering for?

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(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

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?

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