Designated Driving Services Contract
Parent/Guardian Contract

Five (5) Simple Steps To Submit Form:
1.) Complete Contract ageement and donation information.
2.) Click 'Print Page' to print your completed contracts.
3.) Click 'Submit' button. (This will allow us to print and mail or deliver contracts to those that do not have a printer available. It your choice!)
4.) Sign your contracts and mail in with your donation.
5.) Designated Driving Services will contact you by phone or email to confirm that we received your contracts and donation. You will then have an option to have ALL your cards sent by mail or delivered by a Designated Driving Services staff member. It's just that simple!

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DDS Parent/Guardian Contract Agreement Form

I recognize as a Parent/Guardian that there are going to be many potentially dangerous situations and decisions that my family and I may encounter at anytime. So, I will do whatever it takes to make sure that my family and I avoid making decisions that will jeopardize their welfare and their trust in me. I understand the dangers associated with alcohol, drugs, reckless driving and the destructive behaviors that are often associated with it. I will read and discuss the rules of this contract with my family.

1. Parent/Guardian Agrees To the following underage drinking rules:
DDS or I will pick up my teen any time he or she calls for a ride home.
DDS or I will pick up a teen who refuses to ride with someone that is intoxicated.
I will not make alcohol available to anyone under age 21 at my home.
DDS or I will provide transportation home for you when you cannot get home safely.
If any of these situation should occur I will not discuss it until the following morning if need to be.

I have read and discussed each underage drinking rule above with my family members. By signing below, I promise my family and DDS that I will honor all the rules.

Parent/Guardian: ______________________________________ Date: __________

2. Parent/Guardian Agrees To the following drinking & driving rules:
I will not allow anyone to leave my home intoxicated. I will call DDS to take then home.
I will call DDS to pick up a family member that is out and has had too much to drink.
I will call DDS or a family member for a ride home if I have had too much to drink.

I have read and discussed each underage drinking rule above with my family members. By signing below, I promise my family and DDS that I will honor all the rules.

Parent/Guardian: ______________________________________ Date: ___________

Important Note: Designated Driving Services is Not A Taxi service! We are to be used in emergency situations only! If Designated Driving Services feel that you are abusing our services or put our drivers in harms way at anytime, we will deactivate your Contract and Transportation Cards Immediately!

By signing both contracts, all parties are agreeing that if they find themselves in one of the dangerous situations stated in either contract, they will call Designated Driving Services, a cab or a family member for a ride home with No Questions Asked and the situations Will Not be discuss until the next morning in a calm and caring manner the next morning if need to be.
What's important is that you may have just saved a family member life and better yet save an innocent persons life on the road.

Parent/Guardian Signature: __________________________________ Date: ________

Family Member Signature: ___________________________________ Date: ________

Family Member Signature: ___________________________________ Date: ________

Family Member Signature: ___________________________________ Date: ________

DDS Witness: ____________________________________________ Date: _________

Donation Information: [Must Complete]

Name

Address:

City: Zip: County:

Phone: E-mail:

How did you hear about Contract Program!

Representative: If "other" describe here:

Check or Money Order Donation: $ Payable To: Designated Driving Services

Total Donation Amount: $

Please Do Not Send Cash!

Please Mail All Checks/Donations and Signed Contracts To:
Designated Driving Services * P.O. Box 1571 * Horsham, PA 19044-2044

Before clicking "Submit" button! Click "Print Page" below and sign contracts and send to address above.

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