Lord God, deeply grateful for the many favors you have granted me, I ask forgiveness for my disorderly have granted me, I ask forgiveness for my disorderly conduct. I recognize that my vice, not only distorts your conduct. I recognize that my vice, not only distorts your image and likeness in my person, but also seriously image and likeness in my person, but also seriously harms my family and loved ones. For its sake and my harms my family and loved ones. For its sake and my own, I PROMISE, with your help, to stop own, I PROMISE, with your help, to stop _______________________________________________ during _______________________________________________ during ______________________________________, to avoid the ______________________________________, to avoid the occasions, situations and persons that induce me to do occasions, situations and persons that induce me to do so, and to increase my prayer and Church life. so, and to increase my prayer and Church life. I invoke the help and intercession of Mary Most Holy I invoke the help and intercession of Mary Most Holy and all the saints so that I may obtain grace and peace and all the saints so that I may obtain grace and peace from you and be able to fulfill this promise. from you and be able to fulfill this promise. _____________________________________________________________ _____________________________________________________________ (Name and signature) (Name and signature) Given in Santiago de Querétaro, Qro. A ____ from __________ of 2015 Given in Santiago de Querétaro, Qro. A ____ from __________ of 2015 Our Lady of Lourdes Parish, Lazaro Cardenas. Our Lady of Lourdes Parish, Lazaro Cardenas.