HHS - Parent Pledge Sign Up Form

Parent Pledge

Yes, I wish to join other Healdsburg parents in signing the Parent Pledge.

Name of parent(s)
Street	City Zip
Phone
Student name
I have discussed this pledge with my student.
Yes, please include my name and telephone number in a directory to be made available to other Healdsburg pledge parents.
Yes, I'd like a copy of the telephone directory of Healdsburg pledge parents.
Yes, I give permission for my name to be published in a local ad featuring the Parent Pledge.
I plan to send a small donation toward the cost of printing the directory. Make check payable to PIN. Send to HHS Parent Pledge, 1024 Prince St., Healdsburg, CA 95448