VMAC Safe Homes Pledge
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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.
I / we agree to support the ideals of the SAFE HOME program with our children and in our home. We agree to have our contact information shared with like-minded families in Verona to facilitate the protection of our youth.
Is this the first time your family is taking the pledge?
YES - this is our first time
NO - we are renewing / updating
Information to be Included on the Safe Homes Contact List
Last Name of Child(ren):
What school(s) do your child/children attend?
FN Brown Elementary
Our Lady of the Lake School
HB Whitehorne Middle Scool
Verona High School
Parent / Guardian First Name(s)
Parent / Guardian Last Name (only if different from Child Last Name)
Email Address (will be used to send you a copy of the Safe Homes list)
Click here if you do not want your email address displayed in the Safe Homes Contact List
Contact Phone Number
Is this a Home Phone or Cell Phone?
Home Address (optional)
Please let us know if you would like additional information about the Verona Municipal Alliance Committee, including info on joining the committee
Yes, please have someone from VMAC contact me at the email address I have provided.
Yes, please have someone from VMAC contact me at the phone number I have provided.
No, not at this time.
Additional Comments / Questions for VMAC:
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