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Mifflin County School District

Communities That Care
SAFE HOMES

What is SAFE HOMES? - SAFE HOMES PLEDGE - Workshop Survey

Communities That Care continues to maintain SAFE HOMES program in the schools to help parents work together to keep all of our youth safe, and we want to include you! This program was developed by the PA Liquor Control Board and gives you, as a parent, an extra tool as you are working to keep your children safe and drug-free. By downloading/printing and signing the pledge, you are agreeing to do your best to uphold the 6 points of the pledge in order to keep our youth safe, supervised, and drug-free. All parents who sign the pledge will be entered in our Safe Homes directory. That way when your child comes home and asks to visit a friend, you can look up their friend in the directory and see that their parents have signed the pledge and will do their best to keep your child safe while he or she is visiting their child. Please, print and sign the pledge below and return it to your child’s school or to Communities That Care by DECEMBER 19, 2008
What is SAFE HOMES?
  • A way for parents to get to know each other
  • A tool to help parents work together to keep our children safe and drug-free
  • An opportunity for parents to join together to give our children clear, consistent messages about underage drinking and their safety

SAFE HOMES is NOT:

  • Asking you not have alcohol in your home
  • A legally binding contract
  • A way to replace calling ahead to the home of a child who your child is planning to visit

What are we asking you to do?

  • Get a copy of the pledge from Communities That Care or print your own copy from the Mifflin County School District website: www.mcsdk12.org
  • Read over the 6 points on the SAFE HOMES pledge
  • Sign the pledge and provide your contact information
  • Return the pledge to your child’s school or to the Communities That Care office
  • Receive your copy of your child’s school’s SAFE HOMES directory
  • When your child asks if they can visit another child, look up the child’s name in your SAFE HOMES directory to see that their parents have signed the pledge also
  • Call ahead to that family to make sure they know your child is coming and to make sure that they will be supervised by an adult

If you have any questions, feel free to
contact Communities That Care at 248-3994.


  

Mifflin County Communities That Care
SAFE HOMES PLEDGE
A PA Liquor Control Board Program

  1. 1. I will actively supervise all gatherings or parties of youth in my/our home or on my/our property,
    or ask another responsible adult for help to do so..
     
  2. 2. I will not allow youth to possess or use alcohol, tobacco, or other drugs in my/our home or on
    my/our property.
     
  3. I will set expectations for my/our children by knowing where they are going, whom they are with,
    what their plans are, and when they are to return home.
     
  4. I will call the parents of the child who my child is visiting to confirm our children’s plans and keep
    the lines of communication open.
     
  5. I will provide a secure storage place for all forms of alcohol in my/our home.
     
  6. I will talk with any parent of a child I personally observe using alcohol, tobacco, or other drugs.

NAME (print): ______________________________ Signature: _________________________________

ADDRESS (home): __________________________________________________ Zip Code: __________

PHONE* (home): _____________________________ WORK: __________________________________

Email Address: ________________________________________________________________________

 

Child’s Name Grade School

1.___________________________________________________________________________________

2.___________________________________________________________________________________

3.___________________________________________________________________________________
Please list additional children on the reverse side of this pledge.

*Do you want us to list your contact information as a member of the SAFE HOMES network in the Mifflin
County School District’s SAFE HOMES Directory? Please indicate below if we may do so.

___ Yes, you may publish my phone number. ___ Yes, you may publish my address.
___ Yes, you may publish my email address. ___ No, please do not include my contact information.

Please sign and return the SAFE HOMES pledge to your school or to
Mifflin County Communities That Care by December 19, 2008.

Image link to Mifflin County Communities That Care
www.mccares.com

 

Mifflin County Communities That Care
COMMUNITIES THAT CARE WORKSHOP SURVEY
A PA Liquor Control Board Program

Guiding Good Choices: a workshop that strengthens families, and addresses topics such as anger management, setting healthy standards and preventing alcohol and drug use in children. It is geared specifically for parents of children ages 9-14 years and has five 2-hour sessions.

Would you be interested in attending a Guiding Good Choices program? Yes______ No ______

What time would you be most likely to attend? Fall 08______ Spring 09______

What time of day would work best for you? Afternoon ______ Evening _______

Would you be more likely to attend if childcare were offered at the program site? Yes______ No ______

This survey is included at the bottom of the SAFE HOMES PARENT PLEDGE FORM.
Print this form from a PDF Reader

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