Little White Ribboner Enrolment
I PROMISE to teach my child not to drink alcohol, smoke, use or
experiment with any other drug not prescribed by their doctor.
A separate form is required for each child.
Give the name of your child in the space below.
Please indicate whether your child is a boy or a girl in the gender space below.
Please enter the date of birth of your child 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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