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Email address:
Date of birth:
Race (for statistical purposes only):
Gender (for statistical purposes only):
Are you currently represented by an attorney? If so, what is the attorney’s name and phone number?:
Describe the problem for which you need legal help, including when and where the event happened. Also include the names of people, law enforcement agencies, and schools which are involved:
How did you hear about JCAP’s services?:
The Juvenile and Children’s Advocacy Project is a nonprofit legal services organization at the University of Houston Law Center.