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Lone Tree Teen Court | 9220 Kimmer Drive, Suite 100 | Lone Tree, CO 80124
720
-509
-1265 (office) | 303-225
-4949 (fax) | [email protected] | www.cityoflonetree.com/teencourt
Lone Tree Teen Court
Community Service Guidelines and Agreement
1. The Participant will be under the supervision of ___________________________ who may be contacted at
__________________________ (daytime number).
2. Both the Participant and the Recipient Service Agency understand that any forgery of hours, signatures, or exchanges
of money for hours credited shall be reported to the City Attorney’s office for prosecution.
3. Should the Participant’s provided service be unsatisfactory or performed with an uncooperative attitude or
inappropriate behavior as determined by the Recipient Service Agency representative or the Municipal Court, the
assignment will be terminated and the Participant’s action will be reported to the Municipal Court.
4. Should the Participant fail to appear or call as scheduled with the Recipient Service Agency, the assignment will be
terminated and the Participant’s actions will be reported to the Municipal Court. Failure to appear or call for scheduled
community service will result in an additional four (4) hours of community service.
5. The Participant is expected to dress appropriately according to his/her job assignment. No offensive t-shirts, hats, or
other attire (this includes profanity and/or drug/alcohol related language(s)).
6. The Participant must obey all laws. Smoking, alcohol, and drugs are prohibited.
7. The Participant releases the City of Lone tree and any and all officers, employees or agents thereof from all liability
for any injury incurred during the Participant’s placement and completion of Community Service, regardless of the
nature of the injury.
8. To the extent allowed by law, the Recipient Service Agency agrees to indemnify and hold harmless the City of Lone
Tree and any and all officers, employees or agents thereof from any damage, injury or claim of any kind whatsoever
caused by or caused to the (Participant) while performing the community service for the Recipient Agency Service.
9. The Participant must perform his/her community service at a non-profit organization, governmental entity, or religious
group.
10. The Participant is responsible for having his/her timesheet completed by the Recipient Service Agency
Supervisor and filed with the Lone Tree Teen Court at 9220 Kimmer Drive, Suite 100, Lone Tree, CO 80124.
11. Both the Participant and the Recipient Service Agency are free to contact Teen Court at 720-509-1265 between 8:30
a.m. and 5:00 p.m. Monday through Friday should difficulties arise in the satisfactory completion of the Participant’s
assigned community service.
12. THE PARTICIPANT UNDERSTANDS THAT FAILURE TO COMPLY WITH ANY OF THE ABOVE
CONDITIONS WILL BE A VIOLATION OF THIS AGREEMENT RESULTING IN A REFERRAL BACK TO
THE COURT FOR FURTHER DISPOSITION.
_____________________________________________________ _________________________
Signature - Participant Date
_____________________________________________________ __________________________
Signature - Parent Date
_____________________________________________________ __________________________
Signature – Agency Representative Title Date
TURN IN AGREEMENT AT
THE OUTTAKE