Pledge Heading

Family on Lawn
  • I will not knowingly allow youth (under 21) to consume alcohol or illegal drugs at my home.
  • When I am out of town, I will not knowingly allow my children to host parties in my home involving underage youth.
  • I welcome contact from other parents whose children are gathering at my home, and I will maintain confidentiality, if asked.

By my submission below, I acknowledge my desire to participate as a member in the Safe Homes Network of Fountain Hills. I understand the information I provide will be used in the Safe Homes Network Directory accessed through the Safe Homes Network Website, and only my adult household names will be published in the Fountain Hills Times and/or provided to other parents in the school district. No child's name will be published. I understand this is not a legally binding document.

CONGRATULATIONS on taking the step in becoming a Safe Homes Network Member! Your information will be entered into the directory within 48 hours!

As a member, you can access the directory on line or by using the free mobile App now available for iPhone and Droid smartphones!

For easy, step-by-step directions to download the mobile app for iPhone and Droid, see below:

Click here for Droid phone
Click here for iphone

*Family Last Name:
*Parent First Name:
*Parent Type:
Home Address:
(We will be mailing out a $20 rebate to this address if you have a student in high school and/or middle school. One pledge form per family please.)
*Parent Phone:
Home Phone:
*Email Address:
*Child's Grade: None Below 6th 6th 7th 8th
9th 10th 11th 12th Above 12th
Referred by:
Check here if you are able to volunteer 2 hours/month - if needed
*Required Fields *Please provide at least one phone number
*Please enter characters at right to proceed:


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Fountain Hills Coalition
16921 E Palisades Blvd #103
Fountain Hills, AZ 85268
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