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Henderson Municipal Court, Nevada

Henderson Life of Crime

Registration Form

If the date you would like to attend is unavailable and you are a parent who feels your child needs immediate attention through the Life of Crime program, contact Jeffrey Bernard at (702) 266-6941.

* = Required information

 

(Required if participant is under 18)
 
 
Who Referred You*  
  • Court ordered (Judge Name)
  • Probation ordered (Probation Officer)
  • Parent/Guardian
  • Other (please explain)*:
Please give us a brief description of why your child is attending the Life of Crime program:
   
Required Information:
  • Parents must attend with youth, if under the age of 18.
  • Space is limited and is reserved only for the attending registered participant and parent(s) or guardian.
  • Registration is required to attend - link to registration below.
  • Registration will be confirmed.  
  • Failure to appear will result in the inability to re-register for up to 6 months.  Please be courteous and respectful for those who really want to attend.  IF YOU NEED TO CANCEL, PLEASE CALL (702) 267-3410.
  • No food or drinks are allowed in the court house.
    (Check box to acknowledge.)
  • No Cell phones or electronic devices are allowed in the court house.
    (Check box to acknowledge.)
  • Doors open at 5:20 pm. No one will be allowed in after 5:45 pm.
    (Check box to acknowledge.)
  • Attire: Appropriate attire is mandatory while attending sessions. Appropriate make-up will be worn as well. If these rules are not followed, the student will be removed from the class.
    • NO hats, scarves, etc., of any kind.
    • NO shorts or short skirts/dresses.
    • NO tattered, torn, or holes on T-shirts and/or tops
    • NO foul or offensive language of any kind on apparel or shoes.
    (Check box to acknowledge.)
  • PLEASE NOTE:  Offensive language may be used during the presentation of the program.
    (Check box to acknowledge.)
   
ACKNOWLEDGEMENT
By submitting this registration, I acknowledge that I have read the Required Information above.

DISCLAIMER
By submitting this information, I additionally consent to my personal and contact information being sent to the Court's third party partner in order to:

  • Be confirmed for the event
  • Answer clarifying questions
  • Communicate with me regarding the program and our participation
  • Make me aware of additional programs that relate to Life of Crime