Teens – please read and sign the prom pledge card.

This Prom, I pledge respect and care of myself and my friends by:

• Wearing a seat belt any time I am in a vehicle.
• Pledging not to drink alcohol or use drugs before, during, or after prom. I also will not get into a vehicle with anyone who has had any amount of alcohol or drugs.
• I will be a true friend and encourage those around me to be alcohol and chemical free.
• If I find myself in a compromising situation, I promise to call my parents or a safe adult who can help me.

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Student Signature                                                                           Date

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School                                                                                            Grade

Parents – please read and sign the pledge card.

This Prom, I/we pledge to respect and care for my/our teenage child by:

• Requiring seat belt use anytime your teen is in a vehicle.
• Prohibiting any use of alcohol or drugs and agreeing not to provide these items to my teen or their friends.
• Reminding my teen never to get into a vehicle with anyone who has had any amount of alcohol or drugs.
• Setting up a plan in the event my teen finds themselves in a compromising situation so they know they can always call home or a safe adult contact.

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Parent Signature                                                                              Date


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Wright County Public Health & Safe Communities of Wright County