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Invest In 
Our Children 
Form

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Newman School Website

Newman Elementary School PTC
Needham, Massachusetts

Idling Reduction Pledge Form

IDLING REDUCTION PLEDGE

I, _______________________herby pledge to my child(ren),

     Parent/Guardian’s Names                               

_____________________

_____________________

_____________________

Student’s Name

Student’s Name

Student’s Name

that I will IMPROVE AND PROTECT AIR QUALITY in our community by turning off my car’s engine when I am parked or waiting.

Signed by

________________

Signed by

________________

 

Parent/Guardian’s Signature

 

Parent/Guardian’s Signature

Witnessed by

________________

Witnessed by

________________

 

Student’s Name

 

Student’s Name

Witnessed by

________________

Date

________________

 

Student’s Name

 

 

Source: Massachusetts Department of Environmental Protection