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Home Rules Contract - TEENS WITH PROBLEMS

home Rules Contractfor_____ Family(last name of family)All family members, whose signatures are present on this document below, are in agreement with and willfollow the Rules and consequences of this home Rules Contract as listed:1. (list rule) _____Consequence:_____ Privilege:_____2. (list rule) _____ Consequence:_____ Privilege:_____3. (list rule) _____Consequence:_____Privilege:_____4. (list rule) _____Consequence:_____Privilege:_____5. (list rule) _____Consequence:_____Privilege:_____Sig natures of family members ( Contract must be signed by all family members involved in Contract )Caregivers!_____Parent!_____Par ent!_____Step Parent!_____Step ParentOther Caregivers!_____Grandparent #1!_____Grandparent #2!_____Other Caregiver #1!_____Other Caregiver #2 TEENS /Preteens!

Home Rules Contract for _____ Family (last name of family) All family members, whose signatures are present on this document below, are in agreement with and will

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  Rules, Contract, Home, Home rules contract

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