Thank you for taking the pledge!

Click the image to download

Download and print this form to keep track of your Acts of Kindness during Agnes Irwin's Sesquicentennial.

Maybe you purchased a cup of coffee for a friend, or did something more involved, like participating in a cleanup day for a community park in your hometown. Everything counts towards your 150 Acts of Kindness! 

Did you already fill up both sides of the pledge form? No problem! Click here to print a blank pledge form with 20 more lines.

And don't forget to send your completed Acts of Kindness pledge forms back to AIS so we can keep track.   Please email completed forms to