Form DEA-316 Intent to Participate

OMB No. 1117- EXP DATE:

US Department of Justice Drug Enforcement Administration Red Ribbon Week Patch Intent to Participate

Scouting troops or units MUST submit this form to ensure patches are available.

Scout unit or troop number: _________ Council Name: _______________________________

City: ___________________________ State: _______________________________________

Troop’s e-mail address (print): ___________________________________________________

Number of Scouts in troop or unit intending to participate: _____________________________

Please mark as appropriate:

________Boy Scout unit

________Girl Scout unit

**Please note, in order to receive your DEA Red Ribbon Week Patches, the leader or contact

person MUST complete the Activity Report upon completion of all program requirements.

DEA-316