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Trick or Treat for Canned Goods
Russell Tomblin
Wednesday, October 11, 2017

INFORMATION AVAILABLE BELOW.  Please be sure to have your student pick up a packet to complete and return to Ms. McDonald or Ms. Jordan.  Your support helps families in Shelby County. 

Student Council

Trick-or-treat for canned goods

Friday, October 27th, 2017


Moulton Middle School Student Council is seeking your support. We are organizing a canned food drive with a twist. Instead of asking the community to drop off canned goods, we are making pick-ups. 4th through 8th grade students will walk the streets of Shelbyville in teams of three to five. They will be accompanied by a high school student, parent, teacher, or volunteer to cover an assigned zone. Multiple drivers will scan the zones to continually allow students to empty their sacks of collected canned goods.


This year the groups are required to have their own chaperone.  If you cannot find one, then your team needs to talk to Ms. McDonald or Ms. Jordan and make arrangements ahead of time.


This service will run from approximately 4:00 p.m. to 6:00 p.m. on Friday, October 27th. We would like all volunteers to meet at Moulton at 3:30 p.m. to get each team, chaperone, and transportation organized.


Following the canned food drive, Student Council will be hosting a Halloween Dance in the activity room of Moulton.  The dance will run from 7:00 p.m. to 9:00 p.m. and is for all eligible 6th through 8th grade students. Students participating in the canned food drive will receive a 50% discount on admission to the dance.


Please return this form, completed and stapled, to all other team members’ completed forms by Friday, October 20th to Ms. McDonald or Ms. Jordan, Moulton Student Council Advisors.

Student Name: ________________________________________ Grade Level: ___________


T- Shirt ($10):     Yes    No  (Only circle yes if there is $10 attached to the form. To help with organization please put the students name on a sealed envelope attached to the form.)   

IMPORTANT:  If you would like a t-shirt, please turn in $10 with team submission by Friday, October 13th.

Size (Adult)   2XL   XL     L      M      S     YouthL     YouthM


I give the student listed above permission to participate in this community service project.

Parent/Guardian Signature: _______________________________________

Chaperone’s Name: _______________________________

Phone Number: ___________________________________


Team Name: ________________________________________________________

Team Members (include yourself). Each team member needs to submit this form with parent permission!

  • _________________________________                             Grade Level: ___________
  • _________________________________                             Grade Level: ___________
  • _________________________________                             Grade Level: ___________
  • _________________________________                             Grade Level: ___________
  • _________________________________                             Grade Level: ___________