Relax, Turn Off Your Phone, and Go to Sleep 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the 'Parent/Guardian' field. This personalizes the document and confirms your acknowledgment of the information provided.
3. Next, fill in your child's name in the designated field. This ensures that the guidelines are specifically tailored to your child’s safety.
4. Enter the date on which you are completing this form. Keeping a record helps maintain accountability and awareness.
5. Review all sections carefully, especially those highlighting safety reminders and tips for avoiding distractions. Make sure you understand each point before signing.
6. Finally, sign at the bottom of the form to verify receipt of the Distracted Adult brochure. This step is crucial for compliance with regulations.

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