VMAC Safe Homes Pledge
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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
Is this the first time your family is taking the pledge? *
Required
Information to be Included on the Safe Homes Contact List
Last Name of Child(ren): *
What school(s) do your child/children attend? *
Required
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) *
Contact Phone Number *
Is this a Home Phone or Cell Phone? *
Home Address (optional)
Additional Information
Please let us know if you would like additional information about the Verona Municipal Alliance Committee, including info on joining the committee
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Additional Comments / Questions for VMAC:
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