Diversion Agreement 226 Sexual Exploitation (DASSX)- Page 1 of 1 WPF JU 06.0130 (06/2018) - RCW 13.40.080, RCW 13.40.213 County Juvenile Court Diversion Agreement/Contract 226 Sexual Exploitation (DASSX) (Name) (Parent/Guardian) (Address) (Address) (Phone) (Phone) I have been referred for the offense of:, committed on . I understand that the county prosecuting attorney has determined that probable cause exists to believe that I have committed the alleged offense. I agree to complete the following conditions and requirements rather than have my case heard in court before a judge. Signing this agreement enters the above offense onto my juvenile court records as criminal history. ------------------------------------------------------------------------------------------------------------------------------------------------------------- Housing: I will reside at: . Evaluation: through to be completed by . Cost $. Chemical dependency evaluation and comply with all treatment recommendations by . Evaluation completed by . Do not possess or consume alcohol or non-prescribed drugs. Subject to random UA/PBT/BAC testing to ensure compliance. Counseling with for hours/sessions, completed by: . Positive Youth Development/Education/Information/Restorative Justice Program: I will attend and complete: by Cost $ by Cost $ The Diversion Unit is not responsible for any cost of counseling, positive youth development, educational, restorative justice, and/or informational sessions. All costs incurred are payable by the parent. Employment screening with , completed by: . Community Restitution (Service) I have been informed of my obligation to complete community restitution work. It is my responsibility to find an approved organization or an approved individual who would benefit from this service. I agree to set up a schedule for completion of my assigned hours. In no case is this schedule to exceed the agreed completion date of this contract. [court contact information] Hours of Community Restitution Agreed Completion Date School: notified. Other requirements/instructions: . The following Conditions are for the Duration of the Entire Diversion Agreement: Curfew: Week days: Weekends: Restricted from the following locations: No contact with (including through a third party): Date: Youth: Counselor: Parent/Guardian: Chairperson: CAB Members: Juv No./Referral No. Diversion Parent Fee paid will be paid by: Other: American LegalNet, Inc. www.FormsWorkFlow.com