Take the Pledge

Please read and sign the Griswold Safe Home Network pledge.

Safe Homes pledge form

A Safe Home is one in which a parent or guardian is visible and responsible for maintaining a set of community standards as described in the Safe Home Pledge:
- I will be present and visible in my home and actively supervise all gatherings or parties of youth in my home or on my property.
- I will not serve, nor allow the possession or use of alcohol, tobacco, e-cigarettes, vapor products, marijuana or other drugs by youth in my home or on my property.
- I will provide a secure storage in my home for all forms of alcohol, prescription and over-the-counter medications, firearms and other potentially hazardous items.
- I will develop and communicate a clear “no use” position about alcohol, marijuana, tobacco and other drug use with my child.
- I will set expectations for my children by knowing where they are, whom they are with, what they are doing, and when they are to return home.
- I will communicate with other parents and agree on expectations and rules for youth regarding a no drug or alcohol use policy.
- I will welcome phone calls from other parents to join efforts in providing a safe, healthy, drug-free home and community.
The Safe Home Pledge is not a legally binding contract but rather a commitment to a set of shared principles among parents/guardians.

By submitting your information below, you agree to uphold the Pledge standards of the Griswold SAFE HOMES Network. Everyone who submits the Pledge form (online or by mail) will be included in a SAFE HOMES Directory. This is a directory for families to use as part of their normal safety research as children and teens visit each other’s homes.

To maintain some level of privacy, the SAFE HOMES Directory will NOT be published online. It will be emailed to parents/guardians AFTER they sign and submit their pledge form.
Sign the pledge*
- I have read and agree to the terms and conditions of the Safe Home Pledge.
Parent / Guardian Name*
This information will be published in the directory.
First Last
Phone*
This information will be published in the directory.
Email*
This information will be published in the directory.
Address*
This information will be published in the directory.

Street Address City State ZIP Code
Additional Phone
This information will NOT be published in the directory.
Number of children covered by the pledge
Child 1: Name
This information will NOT be published in the directory.
First Last
Child 1: School
This information will NOT be published in the directory.
Child 1: High School graduation year
This information will NOT be published in the directory.
Child 2: Name
First Last
Child 2: School
Child 2: High School graduation year
Child 3: Name
First Last
Child 3: School
Child 3: High School graduation year
Child 4: Name
First Last
Child 4: School
Child 4: High School graduation year
Child 5: Name
First Last
Child 5: School
Child 5: High School graduation year
Child 6: Name
First Last
Child 6: School
Child 6: High School graduation year
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Contact Griswold PRIDE

located at Griswold Town Hall
28 Main Street
Griswold, CT 06351

Miranda Nagle Mahoney
Program Coordinator
mnagle@chrhealth.org
860-841-3803