Fill and Sign the California Code Section 497299269 Form

JV-635 SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– FOR COURT USE ONLY STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– CASE NAME: ––––– ––––– PROMISE TO APPEAR—JUVENILE DELINQUENCY (Juvenile 14 Years or Older) LAW ENFORCEMENT AGENCY: ––––– REPORT NUMBER: ––––– Name of child: ––––– Date of birth of child: ––––– Address of child: ––––– Phone number of child: ––––– Name of parent, legal guardian, or adult relative: ––––– Address of parent, legal guardian, or adult relative (if different from that of child ): ––––– ––––– Phone number of parent, legal guardian, or adult relative (if different from that of child ): ––––– 1. I have been arrested for one or more of the following felony offenses (list code violations alleged): ––––– ––––– 2. The police officer probation officer is releasing me to (name): ––––– who is my mother father legal guardian relative (state relationship): ––––– 3. I PROMISE TO APPEAR on (date): ––––– at (time): ––––– in Dept.: ––––– Room: ––––– located at courthouse address above other (specify address): ––––– ––––– 4. I understand that if I do not come to court on the date and at the time indicated, the court may order that a warrant be issued for my arrest. Date: ––––– ––––– (TYPE OR PRINT NAME) (SIGNATURE OF CHILD) ––––– (TYPE OR PRINT NAME) (SIGNATURE OF PARENT LEGAL GUARDIAN RELATIVE) Witnessed by: ––––– (TYPE OR PRINT NAME) (SIGNATURE OF PROBATION OFFICER POLICE OFFICER (agency): ––––– Request for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least five days before the proceeding. Contact the clerk's office or go to www.courtinfo.ca.gov/forms for Request for Accommodations by Persons With Disabilities and Order (form MC-410). (Civil Code, § 54.8.) Page 1 of 1 Form Adopted for Mandatory Use PROMISE TO APPEAR—JUVENILE DELINQUENCY Welfare and Institutions Code, § 629 Judicial Council of California JV-635 [Rev. January 1, 2006] (Juvenile 14 Years or Older) • ORIGINAL—Transmitted to court • Copy to youth • Copy to parent, guardian, or relative • Copy to probationelectronic form ã 2005 WWW.LawCA.co m Law Publishers