Please sign in and sign the Statement of Peace by submitting your electronic signature below or by printing and completing the form in hard copy. All hard copy forms will need to be submitted by email to  

En Español      Printable Statement of Peace (PDF) 

Sign in & Statement of peace
First Name:*
Email:*
Prayer Location - Southwestern, Planned Parenthood, or McKinney*
Date:*
# of Hours Praying: *

I testify to the following:

  • I will only pursue peaceful solutions to the violence of abortion when volunteering with the 40 Days for Life-Dallas campaign.
  • I will show compassion and reflect Christ’s love to all abortion center employees, volunteers, and customers.
  • I understand that acting in a violent or harmful manner immediately and completely disassociates me from the 40 Days for Life-Dallas campaign.
  • I am in no way associated with Planned Parenthood or its affiliates, or any other abortion or abortion-referral facility, as an employee, informant, volunteer, client, or otherwise.

While standing in the public right-of-way in front of the abortion center site:

  • I will not obstruct the driveways or sidewalk.
  • I will not litter on the public right of way.
  • I will not display any graphic or politically partisan signs or flags.
  • I will not display any signs or flags unrelated to prayer or pregnancy / healing assistance.
  • I will closely attend to any children I bring to the prayer vigil.
  • I will not threaten, physically contact, or verbally abuse any abortion facility employee, volunteer, or customer.
  • I will not vandalize private property.
  • I will cooperate with local city authorities.
Electronic Signature:*
What church do you attend?
Church City:
To prevent spam, please tell us:
What is 5 + 0 ?