Free D-1 - Indiana

Approved: 8.08 Revised:

D-1.02

STATE OF INDIANA ______________________________________ COURT In The Matter Of __________________________ ________________________________________ A Child Alleged to be a Delinquent Child Case No. ______________________

WRITTEN PROMISE FOR APPEARANCE OF JUVENILE I, the child, parent (or the guardian or custodian of the above named child) do promise to appear (and bring the child) to the Juvenile Court when requested to do so by _______________ _____________________________________________________________________________ or in response to lawful process. Dated: _________________________ _________________________________________ Parent _________________________________________ Address

I hereby release the child, _____________________________________, to the custody of his parents or other persons _________________________, upon the condition that the child and his parent, guardian or custodian appear in person in the Juvenile Court at a time to be later specified and upon the further following conditions: ______________________________________________________________________________ ______________________________________________________________________________ Dated: ________________ __________________________________________ Detaining Officer or Intake Officer

2008