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I, , want to have an amazing time on my prom night and I want to remember it forever. I agree that underage substance use is dangerous and illegal, and therefore will not risk my life by drinking alcohol or using drugs. I also understand how dangerous impaired driving is and will never ride with a driver who has used any substances. I promise to have a safe and substance-free prom night. I understand that if I break my promise, there will be consequences, as agreed upon between me and my parent(s)/legal guardian(s).
Date:
Teen Signature:
Parent/Legal Guardian Signature:
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