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California Peer Watch – SMS Consent Form

Name: ______________________________________

 

Mobile Number: _______________________________

 

Email (optional): ______________________________

Consent to Receive Text Messages By providing your mobile number and signing below, you consent to receive SMS notifications and alerts from California Peer Watch. These messages may include peer rights information, safety updates, community education opportunities, event reminders, and statewide advocacy alerts.

Required Disclosures:

  • Message frequency may vary

  • Message and data rates may apply

  • Text HELP to 951‑000‑0000 for assistance

  • Reply STOP to unsubscribe at any time

  • Your information will not be sold, rented, or shared

  • See our Privacy Policy and Terms & Conditions at:

    • https://californiapeerwatch.org/privacy

    • https://californiapeerwatch.org/terms

 

 

Signature: ___________________________________

 

Date: ________________________________________


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  • Imari Sherrie Nuyen-Kariotis
    published this page 2026-03-10 10:57:31 -0700