Red Ribbon Week Patch Activity Report

Last Updated: Monday, July 2, 2018

This form certifies your completion of all program requirements. Complete by Tuesday, November 13, 2018 to receive your DEA Ribbon Week Patches.

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Scout Unit or Troop Number *

Council Name *

Troop's Mailing Address *

City *

State *

Zip Code *

Troop's Email Address *

Number of Boy Scouts or Girl Scouts who attended the anti-drug prevention session: *

Number of Boy Scouts or Girl Scouts who took the drug free pledge: *

Number of patches requested for your troop or unit: *

Please describe the Red Ribbon Week activity/event your troop or unit sponsored. *

Approximately how many participants attended your Red Ribbon Week activity? *

Did you partner with anyone? *

If so, please mark all that apply:

If other, please specify:

Please describe the anti-drug prevention education session attended by the scouts (i.e. discussion, lecture, etc.) *

Are you planning to participate in next year’s Red Ribbon Week? *

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