Brockton Safe Homes Pledge

I support creating a drug-free environment for our children in the City of Brockton. I pledge that:

• I will not allow alcoholic beverages or other drugs to be served to minors at parties or activities in my home.
• I will actively chaperone all underage parties or activities in my home.
• I will alert the appropriate parents or guardians of any child who is, or appears to be, under the influence of alcohol or other drugs in my home.
• I will welcome conversations from other parents or guardians whose children have been invited to my home.
• I will welcome conversations from other parents or guardians if my child is, or appears to be, under the influence of alcohol or other drugs in their home.
• I will remove all unused prescription drugs from my home.

By accepting the Brockton Safe Homes Pledge, you join other parents and guardians in your community who are actively trying to help prevent underage drinking and other drug use.  You cannot guarantee that your children won’t try alcohol or other drugs, but by signing this pledge, you let your children know that underage drinking and other drug use is against the law and against your family values and beliefs.

This pledge is a good faith promise, not a legal contract. You must renew your pledge each year.One pledge form per family.

Required Information: I accept the above agreement (please check the box)
Child's grade:	Child's school:
Child's grade:	Child's school:
Child's grade:	Child's school:
Child's grade:	Child's school:
Child's grade:	Child's school:
Child's grade:	Child's school:
Optional Information:
Parent or Guardian Name:
Email: