THE HOMELESS SLEEP OUT

FRIDAY, APRIL 24th 2009

The Homeless Sleep Out will be held in the school front drive from 7 P.M. to 6 A.M.
on the night of Friday, April 24th. You must turn in your pledge sheet with a minimum
donation of $30 (which includes your t-shirt purchase) to participate; checks should be made
out to Mounds View High School. Proceeds will be donated to Simpson Housing Services.
Events include a speaker discussing the epidemic of homelessness in Minnesota, box building
contest, and a soup line. You cannot bring any modern technology (i.e. CD/MP3 Players,
Laptops…); make sure to have warm clothes, and B.Y.O.B. (Bring Your Own Box) This is a
great chance to spend the night doing something cool with your friends and creating a positive
difference. See you there! If you have any questions, please talk to any member of the student
council or Mr. Coty. Turn this into room 150 no later than Wednesday, April 15th.
Thank you and see you there!
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PLEDGE SHEET

NAME: ________________________________________________
HOME PHONE: ______________________ Cell Phone:___________________
GRADE: _____________________________ T-shirt size: ____________

Pledge Name Pledge Amount

1. ____________________________________________________________
2. ____________________________________________________________
3. ____________________________________________________________
4. ____________________________________________________________
5. ____________________________________________________________
6. ____________________________________________________________
7. ____________________________________________________________
8. ____________________________________________________________
9. ____________________________________________________________
10. ____________________________________________________________
11. ____________________________________________________________
12. ____________________________________________________________
Questions? Talk to Student Council Advisor Mr. Coty 651-621-7111

This sheet must be turned in no later than Wednesday, April

15th. The funds must be turned in no later than check-in on
Friday evening, April 24.
 2009 Homeless Sleepout Contract
As a participant and a parent of a participant of the 2009 Mounds View Homeless
Sleepout, I understand and agree to the following:

1. Anyone caught participating in the following will be asked to leave the

premises immediately and not allowed back: tobacco, alcohol, or any
controlled substance use; disruptive behavior to other participants or the
event; conduct in a way that detracts from the spirit of the Homeless
Sleepout; or involvement in behavior that threatens the possibility of
hosting future sleepouts.
2. Anyone on the premises who has not registered, has not signed up, has not
turned in a completed pledge sheet with a minimum contribution of $30
friend or foe, or is not wearing the proper identification (Sleepout t-shirt)
will be asked to leave immediately.
3. Everyone must be checked in at the Sleepout by 8:30 PM in order to
participate, unless you have previously talked to and received permission
from Mr. Coty.
4. Anyone who refuses to leave the premises when asked will be escorted out
by the Sheriff on duty.
5. All large stereos are prohibited and all other electronic devices are strongly
discouraged.
6. Everyone must remain within the designated area (defined that evening).
No one will be allowed on the athletic fields or inside the building during
the evening (concession bathrooms will be open).
7. Anyone who fails to properly dispose of his or her box (this means
removing all staples, tape, plastic, etc. from the box before you recycle it)
on the morning of Saturday, April 25th, will be ineligible to participate in all
future Homeless Sleepouts.
8. Everyone must provide his/her own food and drinks for the night; keep in
mind that we will be having a soup line during the evening. No barbecues
or tailgating will be allowed.
9. Once you have checked in, you will not be allowed to leave the school
grounds for the rest of the night.
10. All pledges must be PAID BY THE TIME OF THE SLEEPOUT FRIDAY
APRIL 24TH.

Student Name__________________________________________
Student Signature ______________________________________
Parent Signature________________________________________
T-Shirt Size:___________
**IN ORDER TO PARTICIPATE IN THE SLEEPOUT, YOU AND YOUR PARENT
MUST SIGN THIS FORM AND RETURN IT AT CHECK IN ON FRIDAY April 24,
2009.