COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : CODE: 4285 Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : IN THE FAMILY DRUG COURT Defendant(s) : ...................................................... OF THE SECOND JUDICIAL DISTRICT COURT IN STATE OF THE COUNTY OF WASHOE, STATE OF NEVADA THE PEOPLE OF THEAND FOR NEW YORK TO IN THE MATTER OF: CASE NO. DEPT. NO. 2 GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of Minor child/ren.the in room , on day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the / THIRD PARTY WAIVER AND PARTICIPATION AGREEMENT Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to The undersigned hereby represents and agrees as follows: the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. I understand that _____________________ who is my _______________ Witness, Honorable Court in County, , one of the Justices of the is being considered for admission into the Family Drug Court Program. day of , 20 I currently reside in the home with ___________________, and the following children ________________________________________________, or I am (Attorney must sign above and type name below) desirous of doing so, or I am desirous against doing so. Attorney(s) for Pursuant to NRS 62.043 and/or NRS 432B.130, I agree to be bound by the rules and procedures of the Family Drug Court and do hereby voluntarily agree to submit to random drug tests, at my own expense Office and P.O. Address as ordered by the Court. I further agree to abide by any other lawful orders or directives of the Court. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : : Plaintiff(s) I agree to remain clean and sober. -against- I agree to pay for all random testing. Calendar No. JUDICIAL SUBPOENA : : I understand that if I violate any orders, including the order to remain clean : and sober, I will be subject to a finding of contempt of Court, wherein jail time, Defendant(s) : ...................................................... community service or any other appropriate sanction may be imposed by the Court. I agree that if the basis of the alleged contempt is a positive drug test, hereby waive THE PEOPLE OF THE STATE OF NEW YORK notice and hearing except that I may offer evidence that the test itself was not properly conducted TO or recorded. IN WITNESS WHEREOF, I hereby set my hand this ____ day of ___________, 20___ GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 ,_________________________ at any recessed at o'clock in the noon, and or adjourned date, to testify and give evidence as a witness in this action on the part of the THIRD PARTY PARTICIPANT Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ______________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Deputy Clerk result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for CODE: 1215 Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com