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IN THE JUVENILE COURT OF GORDON COUNTY, GEORGIA IN THE INTEREST OF: CASE NO.: File Number: Sex: M/F DOB: Age: A juvenile ACKNOWLEDGEMENT OF RIGHTS The above-named juvenile, along with the undersigned parent/guardian and/or attorney, states as follows: I understand that I have been charged with: and that I am here today to answer to the charge(s). I further understand the following: 1. I do not have to admit to the charges against me or say anything at all. 2. I have a right to have the charges against me delivered to me in writing within a reasonable time (72 hours before the hearing). 3. I have a right to have a lawyer represent me and if I cannot afford to hire a lawyer without undue financial hardship, the court will appoint one at no cost to me, if I wish to have a lawyer represent me. I can hire my own lawyer at my own cost. I understand that a lawyer is trained to understand court procedure and proceedings, knows how to conduct trials and how to properly introduce evidence and exclude improper evidence, knows how the law applies to the circumstances of my case, knows how my rights and liberties may be affected by the court proceedings and how to protect my rights and liberties, and how to present my case and all circumstances favorable to me to the court, all of which I may not know. 4. I have the following rights - by entering an admission, I am giving up these rights: - Right to a speedy trial by the judge - Right to confront, that is to see, hear, question and cross examine the witnesses called to testify against me - Right to use the subpoena power of the Court to require the attendance of any witness on my behalf - Right to testify or not testify and that I cannot be required to testify at trial and if I do not testify, it cannot be held against me - Right to the presumption of innocence and that before I can be adjudicated the State has the burden of proving my guilt beyond a reasonable doubt (delinquent charges)/clear and convincing evidence (CHINS) - Right to make application for bail 5. I have been told of the possible outcomes in my case which may include and is dependent upon if a delinquent or CHINS disposition: my case may be dismissed or informally adjusted; I could be placed on supervised or unsupervised probation; spend up to thirty (30) days in a juvenile detention facility (RYDC), commitment to the Department of Juvenile Justice, suspension of driver's license privileges, requiring school attendance, placement in an institution, community service, restitution, payment of probation fees or fines, requiring school attendance, placement in an institution, community service, restitution, payment of probation fees or fines, counseling or placement in the temporary custody of the Department of Family and Children Services. IF I AM ADJUDICATED DELINQUENT FOR A CHARGE CALLED A “DESIGNATED FELONY,” THEN I UNDERSTAND THE JUDGE MAY PLACE ME IN RESTRICTIVE CUSTODY (YDC) FOR A PERIOD OF 1-18 MONTHS or 1-60 MONTHS, DEPENDING ON THE NATURE OF THE CHARGE. 6. I understand that if I am not a citizen of the United States, my admission may result in deportation, the exclusion of admission to this country, denial of naturalization, or other adverse consequence under federal law. I also understand that this admission may negatively impact my ability to obtain or maintain my driver’s license or impact my future employment or impose other collateral adverse consequences upon me. I understand that there may be other collateral consequences that may be imposed. 7. I have talked with my parents/guardian and/or lawyer about this case and have had all the above explained to me and I have had the opportunity to ask questions and have had my questions answered. 8. I have the right to an appeal from the trial if I disagree with the decision, and I have a right to receive a record and/or transcript of the proceedings in the event of an appeal. I acknowledge that I have read, or have read to me, and understand the information written above. This day of Signature of Juvenile Signature of Parent/Guardian/Custodian Juvenile’s Attorney Signature of Guardian Ad Litem (If Applicable)