Drug-free Kids' Pledge Form

I promise, with the help of God, to abstain from alcohol, tobacco, and all other harmful drugs.

Please indicate whether you are a boy or a girl in the gender space below.

Please enter your date of birth in the space below in the following format - DD/MM/YYYY.


(Please enter the text in the image above. Text is not case sensitive.)
Click here if you cannot recognize the code.

All fields are required.

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