NO CIRCUMCISION PLEDGE
_______________________________________
and _____________________________________,
parent(s) or legal guardian(s) of baby
due to be born _______________________________________
do swear on this date __________________________________________, 20______ that I/we will not consent from the child's birthday forward to having my child undergo the procedure known as circumcision.
Circumcision is the removal of healthy tissue on the tip of the penis known as a foreskin. A foreskin, or prepuce, serves many important functions that I/we want my child to enjoy the benefits of.
In addition, I/we also pledge to properly care for my intact son. I/we will go by the rule of “Intact, don't retract.” I/we will clean only what is seen. I/we will not retract my child's foreskin and I/we will not allow or consent to any medical professional, babysitter, caregiver or any other person to do so as well.
I/we claim for above named child his natural birthright to a whole, intact body.
Signed,
Parent/Guardian Signature
Parent/Guardian Signature
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