Juvenile Justice Enrollment Form (BENEFITS) Logo
  • Juvenile Justice Enrollment Form (BENEFITS)

  • Welcome to the Family Navigator Juvenile Justice Program, where we support you during court cases, connect you to social services, and support you as you communicate with court staff. We help you navigate and better understand the juvenile justice system, so that you can be in the best position to support your child. Please complete all of the information below to enroll and get started!
     
    ***BEFORE YOU BEGIN, you will need a copy of all the documents below.***

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  • Client Goals and Case Plan

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  • I, *, grant permission to Center of Hope Family Services, Inc. and employees the irrevocable and unrestricted right to reproduce the photographs and/or video images taken of me, for the purpose of publication, promotion, illustration, advertising, or trade, in any manner or in any medium.

    I hereby release Center of Hope Family Services, Inc. and its legal representatives for all claims and liability relating to said images or video. Furthermore, I grant permission to use my statements that were given during an interview or guest lecture, with or without my name, for the purpose of advertising and publicity without restriction. I waive my right to any compensation.

    I acknowledge that I am over the age of 18 and the legal guardian of the child. 

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  • Improving the life outcomes of adults, children, and families in urban settings. 

    419.861.4400     |     5461 Southwyck Blvd. Toledo, OH 43614     |   www.cohfs.org

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