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Red Ribbon Leadership Awards Registration
The ceremony will be October 10, 2017, 6pm at the Daphne Civic Center. Admission and parking is free and your student may have as many guests as they would like. Please call Courtney Upton at 251-654-6354 with any questions.

Students should wear their school uniforms and arrive at least 10 minutes before 6pm.

Email address
School Name
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Student's Name as it should be listed in the program
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Student's Name as they wish it to be called out during the ceremony
Your answer
Student's mailing address (please include zip code)
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Parents' Names (as they wish it to be called out during the program)
Your answer
Grade level (numerically)
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Gender
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School District
Red Ribbon Coordinator's Name
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Red Ribbon Coordinator's Email
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Please let us know if your student will need special accommodations.
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Why did you choose this student to be a Red Ribbon Leader? Please use no more than 3 sentences. Portions of this may be shared at the ceremony.
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