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Transforming the Fabric of Family and Community Through Reformative Collaboration, Education, and Advocacy
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Racial Justice
Youth Advisory Board
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Arlington County
City of Danville
City of Falls Church
Northern Virginia Juvenile Detention Center
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Promoting Empathy Through Equitable Resolution (PEER)
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Referral Source / Fuente de referencia
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Courts / Tribunales
School / Escuela
Community / Comunidad
Parent /Madre o Padre
Police / Policia
Municipality / Municipio
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Arlington
Danville
Falls Church
Date of Incident/Fecha del Incidente
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MM slash DD slash YYYY
Police Report # / reporte policial
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Name/Nombre
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Address/Dirección
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Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
PhoneTelephone/ Teléfono
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Email/ Correo Electrónico
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Name of person submitting this form/Nombre de la persona que envía este formulario
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First
Last
Are you the victim?/¿Eres la víctima?
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Consent
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Thank you for your interest in Promoting Empathy through Equitable Resolution (PEER) and Youth Peer Court, collaborative, community-based restorative justice programs. By providing information, you authorize CYFA (Center for Youth and Family Advocacy) to contact you regarding PEER and YPC.
Participation in PEER and YPC is based on a case-by-case analysis. The completion and submission of this form does not obligate you or your child to participate in PEER or YPC. Additionally, the completion of this form does not create a relationship with CYFA or its programs.
CYFA agrees that the contact information contained in this form will not be shared outside of CYFA.
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2024 YRDI Snapshot
View the Snapshot
CYFA wins Arlington NAACP’s 2024 Willard Woodson “Woody” Brittain Jr. Community Appreciation Award
New Arlington youth program uses restorative justice to tackle juvenile crime
Watch the Video
CYFA honored to be a 2023 Dominion Guild Merry Market Grantee
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