Responsible Parent Network Pledge

sponsored by the Youth Steering Committee of Upper St. Clair

I pledge to provide visible and active adult supervision at teenage parties in my home.
I pledge to forbid the use of alcohol by underage guests in my home and to forbid the use of other illegal substances by anyone in my home.
I pledge to discuss this commitment with all members of my family.
I pledge to honor this contract for a period of          years. (Up to 3 years)



                                                                                                              
Signature of Parent(s) or Guardian(s) Date



(Please print)
Name of Parent(s):                                                                                      
Address:                                                                                       
                                                                                      
Phone:                                                                                       


Names and ages of children School attending/Grade
                                                                                                                           
                                                                                                                           
                                                                                                                           



Please return this signed form to the Youth Steering Committee, c/o Upper St. Clair Recreation Department, 1820 McLaughlin Run Road, Upper St. Clair, PA 15241.



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