Parent Directory
Home
BHCC Home

Español Versión

We're on Facebook

Follow us on Twitter

Pledge Form

Burlington SAFE HOMES program is designed to:

  • Protect the safety of youth by educating parents about the impact of adolescent alcohol, tobacco, and other drug use.
  • Help parents establish a clear “NO USE” of alcohol, tobacco and other drugs message to their children.
  • Encourage parents to openly communicate with one another about parenting concerns.
  • Assist parents in establishing reasonable guidelines for their children’s behavior.
  • Make parents aware of alternative activities for Burlington youth.
  • Provide a continuing support network for both Burlington parents and youth.

Burlington SAFE HOMES parents agree to:

  • Develop and communicate a clear position to youth about not using alcohol, tobacco and other drugs.
  • Not allow parties and gatherings in homes when parents/guardians are not present to supervise.
  • Work toward strengthening school policy regarding the use of alcohol, tobacco and other drugs.
  • Support law enforcement policy regarding the use of alcohol, tobacco and other drugs by encouraging the use of appropriate and consistent discipline and treatment in dealing with offenders.
  • Not allow the illegal use of alcohol, tobacco or other drugs in their homes or on their property.
  • Communicate with other parents in their children’s social circles.

Complete and submit the form below to register your family with SafeHomes.

SAFE HOMES PARENT/GUARDIAN PLEDGE

I will actively supervise all gatherings of youth in our home or on our property, or ask another responsible adult for help to do so.

I will actively monitor access to alcoholic beverages when available at family gatherings and events (i.e. family reunions, quinceañeras, BBQ’s)

I will not allow the possession of alcohol, tobacco, or other drugs by youth in our home or on our property.

I will set expectations for my children by knowing where they are going, whom they are with, what they are doing, and when they are to return home.

This is not a legally binding contract, but rather an agreement between members of the Burlington SAFE HOMES Parent Network.
First Name :*
Last Name :*
Address :
Zip Code :
Phone :
Cell Phone :
Email :
Language Spoken :
Children's First Name Last Name School Grade

How would you prefer to receive communication from the BHCC SAFE HOMES Parent Network? (Mark all that apply)


Postal Mail
E-mail (your email address must be included above)
Automated phone calls to this number
On-line social network groups (i.e Twitter, Facebook, Blogspot)

We would like permission to publish your name as a member of the Burlington SAFE HOMES Parent Network in the Burlington SAFE HOMES directory. Please indicate below if we may do so.


Mark here if you DO NOT want your information published
Mark here if you DO NOT want us to share this information with the Burlington-Edison School District


© Burlington Healthy Community Coalition. All rights reserved
web site design by grafixCORP