2021 Red Ribbon Leadership Awards Registration
Please enter the requested information to register your school's Red Ribbon Student Leader.  If you have questions about this form or need additional information, please contact the Drug Education Council at
(251) 478-7855.
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Email *
School Name *
Student's Name as it should appear in any printed material. PLEASE CHECK FOR ACCURACY *
Student's mailing address ( include zip code). PLEASE CHECK FOR ACCURACY. *
Parents' Names as it should appear in any printed material.  PLEASE CHECK FOR ACCURACY *
Parent email address if known
Student Grade level *
Gender *
School District *
Will this student will need special accommodations?  If yes, please describe accommodations needed.
Red Ribbon Coordinator's Name *
Red Ribbon Coordinator's Email *
Why did you choose this student to be a Red Ribbon Leader?  Please use no more than 3-4 sentences.   *
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