SUPERIOR COURT OF THE DISTRICT OF COLUMBIA Multi-Door Dispute Resolution Division Family Mediation Program 410 E Street, NW, Room 1700 Washington, D.C. 20001 AGREEMENT TO MEDIATE This is an agreement by the parties to attempt to mediate certain issues arising out of their relationship. Both parties understand that mediation is a voluntary process which may be ended at any time. By signing this agreement, both parties indicate their awareness that mediation sessions are confidential, except for allegations of child abuse or neglect or serious threats of bodily harm to anyone. Each party agrees not to subpoena any mediator. In no event will any mediator voluntarily either testify on behalf of either party or submit any type of report to the Court in connection with this case.* The parties agree to make a good faith effort to discuss the issues with the aid of the mediator and to fully disclose all relevant information. The parties understand that sworn financial statements may be required and that they may be asked to submit recent tax returns. Failure to make full disclosure may invalidate any subsequent agreement or Court decree. The parties understand that the mediators are not acting as advocates or attorneys for either side. The mediation program recommends that each party obtain an attorney, at least for the purpose of reviewing a proposed agreement prior to signing it. The parties agree that the mediator has the right to end the mediation at any time if the mediator feels that the case is inappropriate for mediation or that further discussions would not be helpful. Party Party Date Date Mediator Mediator Case Name: MD Case No.: Jacket No.: * Fed. R. Evid. 408(a)(2); D.C. Code § 16-4203(b)(2). 03/02/2012 American LegalNet, Inc. www.FormsWorkFlow.com Party