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Patch Program

Thank you for requesting a Meth Destroys Girl Scout patch.

Name:

Address:

City:

State:

Zip:

Council:

Troop Number:

Troop Leader's Name:
County:

To complete the patch program you must have completed three general awareness activities. Please list the activities completed:

Activity 1:

Activity 2:

Activity 3:

You must also have completed one activity from each of the following categories. Please list the activities completed:

Lives:

Families:

Communities: