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Council Report Forms Booklet - Knights of Columbus, Supreme ...

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SUBSTANCE ABUSE AWARENESS POSTER CONTEST<br />

PARTICIPATION FORM<br />

Due By:<br />

March 31<br />

PLEASE INDICATE THE NUMBER OF PARTICIPANTS IN YOUR COUNCIL CONTEST:<br />

AGE GROUPS 8-11 12-14 TOTALS<br />

Detach and mail to: <strong>Knights</strong> <strong>of</strong> <strong>Columbus</strong> <strong>Supreme</strong> <strong>Council</strong> Office, Department <strong>of</strong> Fraternal Services<br />

1 <strong>Columbus</strong> Plaza, New Haven, CT 06510-3326 or Fax to: (203) 752-4108<br />

ALCOHOL<br />

ABUSE<br />

DRUG<br />

ABUSE<br />

TOTALS<br />

PERSONAL COMMENTS OR OBSERVATIONS CONCERNING THE KNIGHTS OF<br />

COLUMBUS SUBSTANCE ABUSE AWARENESS POSTER CONTEST:<br />

SIGNED:<br />

CONTEST PARTICIPATION REPORT FORM: Immediately following the<br />

local council contest, the grand knight should complete and submit<br />

the Substance Abuse Awareness Poster Contest Participation Form<br />

(#4001) to the <strong>Supreme</strong> <strong>Council</strong> Department <strong>of</strong> Fraternal Services. This<br />

form provides the <strong>Supreme</strong> <strong>Council</strong> <strong>of</strong>fice with valuable participation<br />

statistics as well as feedback about the program in general.<br />

Grand Knight<br />

COUNCIL NUMBER:<br />

CITY/TOWN:<br />

FORWARD TO: <strong>Supreme</strong> <strong>Council</strong> Department <strong>of</strong> Fraternal Services<br />

COPY TO: State Deputy, District Deputy <strong>Council</strong> File<br />

STATE/PROVINCE:<br />

4001<br />

3/11<br />

25

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