Hmm... I didn't realize there was a sweetheart pin, actually...
... But my sister was actually lavaliered AND a sweetheart. She was never pinned... Most people here choose something to do. One of my friends gave his girlfriend a ring with his letters on it, my sister was lavaliered, and I've never heard of anyone being pinned, but I think they do it. Things have to be pretty serious to be lavaliered, though, because the guy can only lavalier one girl, and the girl can only be lavaliered once. So, yeah, it's a pre-engagement.
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