Engaged Bystander Pledge

I pledge to be an engaged bystander in my community.

By signing this pledge I will:

Take all signs of violence seriously.
Connect those I know to helpful resources when they need it.
Check in with myself and ask for help when I need it.
Stay connected in my community.

I commit to showing up, speaking out, and helping create a community where everyone can feel safe.

The Weber-Morgan Health Department (WMHD) is committed to protecting your privacy and handling your data transparently. For more information on how your data is collected, used, stored, and your rights, please visit: https://www.webermorganhealth.gov/about/personal-data-request-notice/. If you do not provide the personal data requested by this form, the Weber-Morgan Health Department will not be able to provide your certification of being an Engaged Bystander. Your data is never sold. The personal data collected by this form is included in record series #31265.

1. Please enter your first and last name. *This question is required.

2. Please enter a valid email address, we will send you a copy of your pledge. *This question is required. This question requires a valid email address.