*any other conditions (specify) This therapeutic treatment order remains in force until (end date). Order made at— (venue name) Date— *Judge/*Magistrate * Delete if not applicable Note Any statement made by the child when participating in the therapeutic treatment program under this order is not admissible in any criminal proceedings in relation to the child. _________________ Form 6 6 amended by Rule 5 S.R. Nos 145/2013 Children, Youth and Families Act 2005 rule 9, 7/2016 rule 9. (Section 252) Court Ref.— Name of Child— *Male/*Female Date of Birth— Address— The Children's Court at (venue) on (date) made a therapeutic treatment order in respect of the child. Details of the application The Secretary applies for a therapeutic treatment (placement) order on the following grounds— (set out grounds)
*any other conditions (specify) This therapeutic treatment order remains in force until (end date). Order made at— (venue name) Date— *Judge/*Magistrate * Delete if not applicable Note Any statement made by the child when participating in the therapeutic treatment program under this order is not admissible in any criminal proceedings in relation to the child. _________________ Form 6 amended by S.R. Nos 145/2013 rule 9, 7/2016 rule 9. 6 Rule 5 Children, Youth and Families Act 2005 (Section 252) Court Ref.— Name of Child— *Male/*Female Date of Birth— Address— The Children's Court at (venue) on (date) made a therapeutic treatment order in respect of the child. Details of the application The Secretary applies for a therapeutic treatment (placement) order on the following grounds— (set out grounds)
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