400-00127 Request to Attend Confidential Juvenile Hearing (10/2015) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
FAMILY DIVISION
Unit
Docket No.
In Re:
DOB:
REQUEST TO ATTEND CONFIDENTIAL JUVENILE HEARING
I, ____________________________wish to attend a hearing on _________________ at _____________.
I understand that juvenile hearings are confidential. I understand that if I am given permission to attend a
hearing, I will not be a party to the case. I have no right to appeal any decisions. The hearing will proceed in
my absence if I am not there. The reason for my request is:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Please note: Vermont law says there shall be no publicity given by any person to any juvenile proceedings except
with the consent of the child, the child’s guardian ad litem, and the child’s parent, guardian, or custodian. A person
who violates this provision may be subject to contempt proceedings. 33 V.S.A. § 5110 (c)
My mailing address is:
Name
Street Address
Apt. or P.O. Box Number
City State Zip
Phone Numbers
Day time: Evening:
Email:
Dated
_____________________________ ___________________________________
Signature
Child’s Name
Date
Time