WAIVER OF COUNSEL
I GIVE UP MY RIGHT TO HAVE A LAWYER
Date: ....................
__________________
Child
__________________
Age
STATEMENT OF ATTORNEY ASSIGNED TO DISCUSS THE WAIVER WITH THE CHILD
I have read this waiver to the child. I have explained the waiver fully to the child and believe that the child has waived counsel knowingly, intelligently, and voluntarily.
Date:....
__________________
Attorney
Fl. R. Juv. P. form 8.933