We are thinking of binding you over to keep the peace.
This means that for a period of ………… months you must keep the peace [especially towards …………].
You must refrain from ………… [specify the conduct or activity to be refrained from].
If you break the order you will have to pay up to £…………
Do you agree to be bound over?
You are bound over in the sum of £………… for ………… months.