I, _____________________________________________________, testify to the following:

    • I will always pursue peaceful solutions to the violence of abortion when volunteering with the 40 Days for Life
  • I will show compassion and reflect Christ’s love to all the abortion clinic employees, volunteers, and customers
  • I understand that acting in a violent or harmful manner disassociates myself with the 40 Days for Life
  • I am in no way associated with the abortion clinic or its affiliates by way of employment, informant, volunteer, client, or otherwise

While standing in the city right of way in front of abortion clinic:

  • I will not block the driveways while standing in the public right of way
  • I will not stand any closer to the building than the orange stakes
  • I will not stake signs in the ground of the public right of way
  • I will not litter on the city public right of way
  • I will closely attend to children I bring to the prayer vigil
  • I will not threaten, physically contact, or verbally abuse abortion clinic employees, volunteers, or customers
  • I will not vandalize private property
  • I will cooperate with local city authorities

Signature: __________________________________________ Date: ____________, 2007

Contact Information:

Address: ______________________________________________ Apt./Unit ___________

City: _____________________________ State: ______________ Zip: ________________

Email: ____________________________________________________________________

Phone: (____) ___________ day; (____) ___________ evening; (____) ____________ cell

 

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