SUPERIOR COURT OF CALIFORNIA COUNTY OF FRESNO Family Dependency Treatment Court Agreement Case Number: Name of Client: Date: I, , acknowledge that a substance abuse problem is affecting the ways in which I parent my child or children. I request entry into the Family Dependency Treatment Court (FDTC). I understand that if I am accepted into the FDTC, I must follow the rules of FDTC. I further understand that if I am successful in completing all the requirements of FDTC it will not guarantee that my child/children will be returned to my care, or my case dismissed, but it will be a significant factor for the Court to consider when making decisions. I understand that if I am unsuccessful in FDTC, as determined by the Court, or if I stop participating in FDTC, I may be discharged from FDTC but would still be responsible for participating in the case plan ordered in the juvenile dependency case. I acknowledge the following: PARENT: I have been provided a copy of the FDTC Participant Handbook. I fully understand what participation in FDTC means. I have reviewed all the requirements contained in the FDTC Participant Handbook with my attorney I will fulfill all requirements of FDTC to the best of my ability. Date: PARENT'S ATTORNEY: Date: APPROVED: JUDGE OF THE SUPERIOR COURT Date: PJV-43 E11-13 MANDATORY F.D.T.C. Agreement American LegalNet, Inc. www.FormsWorkFlow.com