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1
Parent/Guardian Name
*
This field is required.
First Name
Last Name
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2
Mobile Phone
*
This field is required.
Please enter a valid phone number.
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3
Email
example@example.com
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4
Child's Age
*
This field is required.
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5
County
*
This field is required.
Please Select
Denton County
Collin County
Dallas County
Tarrant County
Other
Please Select
Please Select
Denton County
Collin County
Dallas County
Tarrant County
Other
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6
Other county
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7
Has the child been detained or just referred to juvenile court?
*
This field is required.
Detained
Referred (I was served)
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8
Upcoming court date
-
Date
Month
Day
Year
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9
Child's First Name
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10
Child's Last Name
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11
Type of allegation
*
This field is required.
Assault
Drugs
Theft
Weapons
School Incident
Other
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12
Is the child currently detained?
*
This field is required.
Yes
No
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13
Has the child had prior juvenile cases?
*
This field is required.
Yes
No
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14
Preferred contact method
*
This field is required.
Phone
Text message
Email
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15
Best time to call
*
This field is required.
Please Select
Morning (8 AM–12 PM)
Afternoon (12 PM–5 PM)
Evening (5 PM–8 PM)
Anytime
Other
Please Select
Please Select
Morning (8 AM–12 PM)
Afternoon (12 PM–5 PM)
Evening (5 PM–8 PM)
Anytime
Other
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16
How soon do you need to speak with an attorney?
*
This field is required.
1
2
3
4
5
Not urgent
Immediate
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17
Have any documents to upload?
*
This field is required.
I don't have any documents to upload
I have documents to upload
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18
Referral paperwork
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Max. file size
: 10.0MB
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19
Citation
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20
Court paperwork
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: 10.0MB
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21
School documents
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: 10.0MB
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22
Other documents
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: 10.0MB
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