Red Ribbon Week Patch Activity Report

Last Updated: Thursday, March 15, 2018

This form certifies your completion of all program requirements. Complete this form by Monday, November 13, 2017 to receive your DEA Ribbon Week Patches.

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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Red Ribbon Week Patch Activity Report

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