Form 10-719. Probation order and agreement.

[For use with Rule 10-261 NMRA] STATE OF NEW MEXICO COUNTY OF _______________ ________________ JUDICIAL DISTRICT IN THE CHILDREN’S COURT Cause No: __________ File No: ____________ In the Matter of _______________________________, a Child. PROBATION ORDER AND AGREEMENT I. ORDER. Child, ___________________ (name of child), is hereby placed on probation beginning ____________________ (date) and ending no later than _________________ (date), for the following delinquent act(s) and/or probation violation(s): _____________________________________________________________________. Period of Probation: [ ] 6 month Consent Decree [ ] 6 month Consent Decree with no opposition to extend [ ] Extended Consent Decree not to exceed one (1) year [ ] Probation up to 1 year [ ] Probation up to 2 years [ ] Probation up to the age of 21 Time Reduction1: ______________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ II. AGREEMENT. Child: I, ________________ (name of child), agree to participate in developing a plan of care that will help support my success on probation, and I have the ability to earn early release.2 Standard Terms. I further agree to the following standard terms of probation: _____ 1. General Behavior. I will obey all laws. _____ 2. Reporting and Visits. I will/understand: a. Report in person to the Probation Officer/designee as required; b. Keep all appointments arranged by the Probation Office; c. The Probation Officer/designee may visit me at any location, including my home, school, or work site. _____ 3. Residence. a. I will stay at ___________________________________________. b. I will be under the physical custody and care of __________________________________________________________ (Parent/Guardian/Custodian). c. I will not be under another person’s custody and care without prior approval from the Probation Office. d. I will notify the Probation Office within twenty-four (24) hours of any changes of location or residence. e. I will first get permission from the Probation Officer/designee if I leave the County or the State or will be away from my location or residence for more than twenty-four (24) hours. _____ 4. Weapons – Alcohol – Drugs. I will not: a. Use or possess any firearms or other weapons, b. Use or possess any alcohol, c. Use or possess any illegal drugs, d. Use or possess any illegal synthetic substances, e. Use or possess any harmful mind or mood altering substances, f. Use or possess medications not legally prescribed for my use, g. Use or possess any drug paraphernalia. _____ 5. Search and Seizure. I will: a. Allow the probation department, with pre-approval from the Chief Juvenile Probation Officer, to conduct a warrantless search of my person and property upon reasonable suspicion to believe the search will produce evidence of a violation of probation. b. Submit to drug and alcohol testing upon request by my Probation Officer/designee. Special Terms. I agree to the following special terms of probation: ____ _ ______________________________________________________________ ___________ ______________________________________________________________ ___________ ______________________________________________________________ ___________ ______________________________________________________________ ___________ I further understand the following: a. The Probation Officer/designee may use incentives, interventions, and graduated sanctions to promote my progress on probation. b. Any changes to the terms of my probation will require approval; and c. If I do not follow these terms of probation, it can result in further action by the court up to and including a revocation or extension of my probation period or a commitment. Parent/Guardian/Custodian: I, ___________________________ (name(s) of P/G/C), agree to support and help in my child’s successful completion of all probation requirements, including creating and following his/her plan of care. ___________________________ Initials ___________________________ Initials Approved and agreed to by: ________________________________ Child Date __________________________________ P/G/C Date ________________________________ JPO Date __________________________________ P/G/C Date ________________________________ Child’s Attorney Date __________________________________ Children’s Court Attorney Date It is ORDERED that the above agreed to terms of probation be approved and adopted. __________________________________ Children’s Court Judge Date Approved and Recommended by: _______________________________ Special Master Date