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Required Information
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Court Appearance Date
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Court Case Number
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Full Name
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Age
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Date of Birth
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Email
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Mailing Address
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City
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State
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Zip Code
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Permanent Address
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City
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State
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Zip Code
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Home Phone
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Work or Other #
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Referring Agency
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Lompoc Superior Court
Santa Maria Superior Court
Other
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Judges Name
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Offense
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Return Court Date
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Department Number
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Time
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For 1 DAY INTENSIVE
Select Wednesday or Saturday:
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Wednesday
Saturday
Please refer to court papers for specific information.
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Dates of school break
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Out of County Registration
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Santa Barbara County
Contra Costa County
San Diego
SF/Bay Area
San Luis Obispo
Other
If other is chosen, please indicate where
Questions