Fill and Sign the Simple Affray Form

File No. Name And Address Of Juvenile Name Of Petitioner Offense Code Offense In Violation Of G.S. Physical Address Of Offense, If Applicable Date Of OffenseTime Of Offense Juvenile’s Date Of Birth AgeRace Sex G.S. 7B-1501(7), -1801, -1802 I have sufficient knowledge or information to believe that a case has arisen that invokes the juvenile jurisdiction of the court, and therefore allege that: 1. The juvenile named above is under the age of eighteen (18) and committed a delinquent act in this district while under the age of sixteen (16). 2. The names, addresses, and telephone numbers of the juvenile’s parents, guardian, or custodian are as follows: 3. SIMPLE AFFRAY [G.S. 14-33] The juvenile is a delinquent juvenile as defined by G.S. 7B-1501(7) in that on or about the date of offense shown and in the county named above the juvenile did unlawfully and willfully make an affray to the terror and disturbance of other citizens at (name public place where fight occurred) , a public place. At that public place the juvenile and (name other persons who were involved in the affray or write other persons whose names are not known) did assault and strike each other by (describe the nature of the fight) . STATE OF NORTH CAROLINA County In The General Court Of Justice District Court Division IN THE MATTER OF (Over) AM PM JUVENILE PETITION SIMPLE AFFRAY (DELINQUENT) 14-33 NC-JOIN No. Category Of Offense Misdemeanor, Class Name Address Relationship/Title Telephone No. AOC-J-333, Rev. 12/17