CHILD'S NAME:

CASE NUMBER:

JV-624

TERMS AND CONDITIONS

Home Supervision/Electronic Monitoring Program
Informal Probation
Deferred Entry of Judgment
Probation
Wardship

The parent or legal guardian must participate in a program of counseling or education as directed by the probation officer.
The child must

Report to the probation officer as directed by the probation officer.
Obey all city, county, state, and federal laws and ordinances.

Obey his or her parents, legal guardian, or caregiver.

Keep the probation officer informed of any changes in address, phone number, family, school, or employment status.

Attend school regularly, obey school rules and regulations, and not leave the school campus during school hours without 
permission of school officials or the probation officer.

Seek and maintain employment as directed by the probation officer.
Not use, possess, or be under the influence of any alcoholic beverage or illegal or intoxicating substance, or possess any 
associated paraphernalia. 

Not use, possess, or be under the influence of the following (specify):

Not possess, own, or handle any firearm, knife, weapon, fireworks, explosives, or chemicals that can produce explosives.
Not contact or associate with:                                                                                                                                                       

Participate in individual, group, or family counseling, as directed by the probation officer:

a.  

b.

c.

Alcohol and other drug counseling

Anger management counseling

Sex offender program

d.              

e.              

Immediately submit to chemical testing in the form of, but not limited to, blood, breath, urine, or saliva on the direction of the 
probation officer or a peace officer.

Be subject to search and/or seizure of his or her person, vehicle, or place of residence, or any place under his or her control, 
at any time, day or night, without a search warrant and without probable or reasonable cause, on the direction of the 
probation officer or a peace officer, for detection of the possession of (specify): ___________________________________

Submit a DNA sample to the probation officer or juvenile hall staff within 30 days.

Perform

hours of community service, to be arranged

by the child with the approval of the probation officer.

through the probation officer and provide proof of completion by (date):                                                               .

Be at his or her place of residence between the hours of 
legal guardian or with prior permission of the probation officer. Other exceptions to the curfew are as follows:

p.m. and

a.m. unless with a parent or

Not be on the campus or grounds of any school unless enrolled, accompanied by a parent or guardian or responsible adult, 
or authorized by the prior permission of school authorities.
Comply with these terms regarding graffiti:

Not possess any graffiti materials, or graffiti-related paraphernalia, including but not limited to spray paint, paint or 
ink markers, metal scribers, aerosol nozzles, or other material used to deface property.
Perform
probation officer.

hours of community service work in a graffiti-abatement program as directed by the

a.  

b.

a.  

b.

Form Approved for Optional Use 
Judicial Council of California 
JV-624 [Rev. January 1, 2012]

TERMS AND CONDITIONS

Page 1 of 2

Penal Code, § 296.1;  

Welfare and Institutions Code, §§ 628.1, 654.2, 725, 729.2;
Cal. Rules of Court, rule 5.790
www.courts.ca.gov

1.
2.

3.

4.
5.

6.
7.

8.

9.

10.
11.

12.

13.

14.

15.

16.

17.

18.

CHILD'S NAME:

CASE NUMBER:

JV-624

c.

Not associate with anyone engaged in graffiti or related activities.

19.

Comply with these terms regarding victims:

a.   

b.

Write a letter of apology, to be submitted to the probation officer for approval, by (date):                                             
Have no contact in person, in writing, by telephonic or electronic means, or directed through a third party with

any person known to the child to be a victim of the child's offense, or those identified in Attachment 19b, Victim 

Identification Form.

c.

Remain at least

yards from the following addresses (residence, place of employment, etc):

unless accompanied by a parent or guardian.

d.   

Comply with terms and conditions of juvenile restraining order.

Attached.

20.

Comply with these terms regarding vehicles. The child must

a.   

b.
c.

Participate in and successfully complete     
Only drive to and from school, work, and/or counseling programs.
Surrender license to 

probation officer. 

court

21.

Child's driver license: 

suspended or

revoked or 

delayed for 

period of: 
until 18 years of age.

months

years.

22.

Comply with these terms regarding gangs:

a.   

b.

c.

Not be a member of, or associate with, any person the child knows, or should reasonably know, to be a member of 
or to be involved in the activities of a criminal street gang.
Not wear or display items or emblems reasonably known to be associated with or symbolic of gang membership.

Not acquire any new tattoos or gang-related piercings and have any existing tattoos or piercings photographed as 
directed by the probation officer. 

23.

24.

25.

26.

JV-624 [Rev. January 1, 2012]

TERMS AND CONDITIONS

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