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SAFE AND SOBER PROM STUDENT PLEDGE

Please tell us your reason for "Staying Safe and Sober" this Prom season?

Please complete this information below stating that you have received information about being safe and sober, meaning alcohol and other drug-free during the prom from your school.

First Name

Last Name

Email Address

School

Grade

Date of Prom

Name (Your Signature) By Signing this I pledge to remain Safe and Sober during the Prom

Date

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