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Contract For Safety
This contract is to be signed by two people,
of any age, who feel they can make a
commitment to help each other stay safe.
Each partner should keep a copy of the
contract in a secure place.
I know that alcohol and other drugs can
affect my ability to drive or walk safely.
If I am ever under the influence, I will not
drive or walk outside alone and I will not
ride with a driver who has been drinking or
taking other drugs. I will also attempt to
stop another person from driving or walking
if I know they are under the influence.
I know that I can call you for advice or
assistance if my safety is threatened,
regardless of the time or circumstances. I
agree to take these actions to stay safe and
I agree to help you stay safe. Our
relationship is worth it.
Signature |
Signature |
Date |
Date |
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Tel#_______________________ |
Tel#_______________________
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By NYC
D O T
Safety Education |
