District No.

In the matter of ............ a child

........... Applicant

of ............

............. Respondent(s)

of ........

WHEREAS ON APPLICATION by the above-named health board, made under section 18 (1) of the above-mentioned Act THE COURT on the ... day of ...... 19.... MADE A CARE ORDER committing the above-named child, to the care of the board for the period from the ... day of ...... 19.... until the ... day of .... 19 .. , *(AND WHEREAS the said order contained a *condition *direction that—

NOW, THE COURT on the application of the applicant herein under section 22 of the Act for an order to *vary *discharge the said *order *condition *direction, being satisfied that notice of the application herein was duly served,

having heard the evidence tendered, and

being satisfied that the welfare of the child so requires,

HEREBY ORDERS that the said *care order *condition *direction

*BE DISCHARGED

*BE VARIED as follows:—

Dated this ..... day of ...... 19...

Signed ..................

Judge of the Children Court

* Delete words inapplicable