STATE OF NORTH CAROLINA ►File No. _______________
Mecklenburg County In the General Court of Justice
District Court Division
IN THE MATTER OF:
Name(s) of Juvenile
AGREEMENT TO ENTER
YOUTH TREATMENT COURT
Name(s) of Juvenile’s Parent(s) and/or Legal Guardian(s)
I, ________________________, respondent juvenile in the above cause, understand that I have been adjudicated Delinquent on a
Petition filed by The Department of Juvenile Justice and Delinquency Prevention in this cause and that the Presiding Judge can now
order me and my family to be referred to the Youth Treatment Court (YTC) for assessment and, if deemed appropriate, to comply with
all treatment, parent involvement, drug tests and court appearances.
The judge has ordered me to participate in substance abuse treatment and I voluntarily agree to participate in Mecklenburg County
Youth Treatment Court Program. I have reviewed the Participation Agreement, executed at the same time as this agreement, and agree
to its contents.
Failure to complete any activities of the program will result in an order pursuant to a Motion for Review Hearing issued by the Court
and a Finding of Contempt of Court that could result in a 30-day detention sentence.
I hereby waive any Notice or Notice waiting time on any Review Order issued other than a verbal notice by the Court during a duly
called session of Youth Treatment Court.
This__________day of ________________, 200__.
Attorney for Juvenile
Judge Louis A. Trosch, Jr.