Bothell Youth Court Application
The Bothell Youth Court is a delegated court model that empowers local youth to hear and adjudicate cases of traffic violations committed by their peers. It focuses on youth leadership development with juvenile justice and pro-active approach in community involvement.
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First and Last Name *
Email Address *
Phone Number *
Address *
Grade *
School You Attend *
Tell Us About Yourself *
What interests you about Bothell Youth Court? *
Name, Signature, Date *
Confidentiality Policy
As a volunteer, your acceptance into the Bothell Youth Court is determined by your adherence to the standards of confidentiality stated below. Therefore, you must understand and agree to the following conditions.
1. When you begin your participation in the youth court, you may have access to various case files and other pertinent records. These may never be copied or in any way removed from the office except as needed for hearings.
2. As a volunteer, you are not to discuss cases with anyone outside the youth court system. You are not to divulge any information which comes to your knowledge in the course of a youth court hearing.
Scheduling and Consent
List any extracurricular activities and their scheduling requirements: *
Community service activities and their scheduling requirements: *
Are you employed? *
If yes, Where? What are your hours?
Do you have transportation? *
Character Reference #1 (Name, Phone Number, Relationship) *
Character Reference #2 (Name, Phone Number, Relationship) *
Person to Contact in an Emergency
Name, Relationship to You *
Home Phone Number
Work Phone Number
Cell Phone Number *
Select the Fastest Way to Reach Them *
I, the Parent/Guardian wish to receive the general Youth Court information which would include times and dates of activities and events (this would not include actual Court Hearing information). If yes please place information below for notification. *
Parent Signature and Date
Parent Email
Parent Address
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