RAT K-3 Activity Report
Please complete this form for each RAT activity.
Organization Name
*
Team Name
*
Sponsor's Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Date of Activity
*
-
Month
-
Day
Year
Date Picker Icon
E-mail
*
Shipping Address (No PO Boxes)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Please Select
Adams
Alcorn
Amite
Attala
Benton
Bolivar
Calhoun
Carroll
Chickasaw
Choctaw
Claiborne
Clarke
Clay
Coahoma
Copiah
Covington
De Soto
Forrest
Franklin
George
Greene
Grenada
Hancock
Harrison
Hinds
Holmes
Humphreys
Issaquena
Itawamba
Jackson
Jasper
Jefferson
Jefferson Davis
Jones
Kemper
Lafayette
Lamar
Lauderdale
Lawrence
Leake
Lee
Leflore
Lincoln
Lowndes
Madison
Marion
Marshall
Monroe
Montgomery
Neshoba
Newton
Noxubee
Oktibbeha
Panola
Pearl River
Perry
Pike
Pontotoc
Prentiss
Quitman
Rankin
Scott
Sharkey
Simpson
Smith
Stone
Sunflower
Tallahatchie
Tate
Tippah
Tishomingo
Tunica
Union
Walthall
Warren
Washington
Wayne
Webster
Wilkinson
Winston
Yalobusha
Yazoo
MTFC Director
*
Please Select
Tasha Bailey
Vickie Bailey
Helen Boerner
Jacqueline Carter
Lori Carter
Cassie Clinton
Stephanie Collier
Rochelle Culp
Paige Dickey
Kim Hart
Rhonda Hayes
Beverly Johnson
Beverly Knox
Kellie Lamb
Leigh Lamkin
Pamela Lang-Prestage
Wendy Magee
Chisa Mallett
Sue Mashburne
Stephanie Mayfield
Nakisha McCray Watts
Emily McGrath
Keetha Mosely
Melissa Nash
Wilhelmenia Newson
Desiree Norwood
Justin Pope
Yolanda Pruitt
Marcus Ross
Linda Turner
Casey Ward
Jon Weeks
Sabrina Wilson
Tabitha Wilson
Monthly Activities:
You Better Tell Somebody!
RAT Tricksters
Five Senses of Poetry
Great American Smokeout Reminder Bracelet
Personal Crest
Resolution Wreaths
I Love My Heart
Kick Butt's Day/Picking Up Butts
Protect the Earth Poster
Write a Letter to Terrance
Enrichment Activity
Coloring Sheet Month
Movement Activities
"Don't Fall For It"
"Gas Station Blues"
"Take Control"
"The Ballad of Edgar"
"Tell Somebody"
Classroom Activities:
Refusal Role Play
Celebrating a Tobacco-Free Life
Stomp Out Tobacco Use Banner
Great American Smokeout Hearts and Petition
Wrapping Up Smokeless Tobacco
Circle of Positive Experiences
Yuck Mouth
Kick Butts Day" Celebration
Smart Choices
Memory Game
Additional Activities
Parent/RAT Team Discussion 1
Family Survey
Other
Comments/Suggestions
Did media cover the event?
Yes
No
If yes, which media outlets?
# of RAT Team members who participated in the activity:
Submit
Should be Empty: