Teen Court Application

Volunteer name*

First Name

Last Name

Age*

Grade*

Phone*

Email*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Name of parent/guardian*

First Name

Last Name

Relationship to teen volunteer*

Phone*

Emergency contact name*

First Name

Last Name

Phone*

Will you need proof of having done community service?*

Yes No

Name of entity that will need proof:

Contact information

Check each of the following boxes to confirm that you understand and agree to each statement.*

I understand that I must follow the courtroom dress code while volunteering for Teen Court. I understand that I must follow all courtroom rules and procedures, including arriving on time. I understand that I am not to discuss the participants or their cases outside Teen Court, and that all court proceedings are confidential.

Teen will sign this form using:*

Mouse or finger pad Text field

Teen's signature

[clear]

Use your mouse or finger to draw your signature above

Enter your name (teen)

This is your digital signature.

Parent or guardian will sign this form using:*

Mouse or finger pad Text field

Parent or guardian's signature

[clear]

Use your mouse or finger to draw your signature above

Enter your name (parent or guardian)

This is your digital signature.