DFK Promise & Club Application Form

“Trusting in God’s help,

Why not make this promise and become a member of the Drug Free Kids' Club?

Fill out the application form below and press the "Send" button below.

Your email program will then open with a data transfer email.

Please press send immediately!

	I wish to make this promise and be a member of the Drug Free Kids' Club.
	My parent or guardian has agreed that I can send this form.
Parent or Guardian's Consent Email Address
First Name			Last Name (optional)
Street or Box Address
Suburb or City
State/Province			Postcode/ZIP
Country (if other than Australia)
I was born:		Day	Month	Year
I am a...		Girl	Boy

Click on the button below to download a promise card that you can sign and keep!