VMAC Safe Homes Pledge
THE PLEDGE
SAFE HOMES is a program that empowers parents and guardians to create a community of like-minded people who have pledged to not allow underage alcohol and drug use in their homes and on their property. *
Required
Information to be Included on the Safe Homes Contact List
Child Last Name *
Your answer
What school(s) do your child/children attend? *
Required
Parent / Guardian First Name(s) *
Your answer
Parent / Guardian Last Name (if different from Child Last Name)
Your answer
Home Address *
Your answer
Contact Phone Number *
Your answer
Is this a Home Phone or Cell Phone? *
Email Address *
Your answer
Your email address will be used to send you the Safe Homes Contact List
Additional Information
Please let us know if you would like additional information about the Verona Municipal Alliance Committee, including info on joining the committee
Additional Comments / Questions for VMAC:
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