walk-a-thon brochure 2010

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year. But numerous local and national groups are working prevention, treatment, and research. Join in their battle at what distance you cover, you’ll be helping to win the race Saturday, March 6th, 2010 8 am Tom Bass Park III Pavilion 5 15108 Cullen Blvd. Houston, TX 77047 More than 57,000 Americans will die from colon cancer this year. But numerous local and national groups are working hard to save lives by supporting colorectal cancer awareness, prevention, treatment, and research. Join in their battle at on March 6th, 2010. This 3-mile walk around Tom Bass Park can help save lives! No matter what distance you cover, you’ll be helping to win the race against colon cancer. RACE INFORMATION Saturday, March 6, 2010 Tom Bass Park III, Area Drive Pavilion 5 15108 Cullen Blvd. Houston, TX 77047 Registration: 8 a.m. – 9 am. Walk begins at 9 a.m. HOW TO REGISTER You can register online at www.HopeThroughGrace.org or by calling 713 – 668 - 4673 (HOPE) Registration closes March 3rd, 2010 No money can be transferred at the park. DAY OF WALK Entrants are required to sign in between 8a.m. and 9a.m. the morning of the walk. You must have pre-registered either online or by sending in this registration form prior to March 3rd, 2010. POST-RACE Please join us after the walk for the awards ceremony where we will acknowledge colon cancer survivors, those special angels who we have lost and others who are "Champions the Cause." TO APPLY ONLINE www.HopeThroughGrace.org (credit card payments only via Secure PayPal System) TO APPLY BY FAX Complete this form with your credit card information, and fax it to HTG at 713-668-6040. Fax and online registration closes on March 3rd, 2010 TO APPLY BY MAIL Complete this form and mail this entry with your payment (check or credit card information) to: Hope Through Grace, Inc. 4660 Beechnut St., Ste. 102 Houston, TX 77096 No money can be exchanged at the park. No exceptions. FOR MORE INFORMATION About the Walk: Please call Amy Brown 713-668-4673 (HOPE) About Hope Through Grace: www.HopeThroughGrace.org Board of Directors Grace L. Butler, Ph.D. HTG Founder & President Professor Emeritus University of Houston Yvette Chargois The Houston Defender Olethia E. Chisolm, M.D. HTG Events Coordinator Kelsey-Seybold Clinic Brian Herrington Harrington, Carbone & Allison, LLP Aretha Johnson, R.N. HTG Vice President Liberty Island Care Homes Kenneth Levingston Sr. Pastor Jones Memorial United Methodist Church Elaine Pearson, M.Ed., MBA LCDR, USN (Ret) HTG Secretary/Treasurer Everett L. Sandles, M.D. HTG Historian TX Children’s Pediatric Associates Victor Simms, M.D. HTG Education Director Kelsey-Seybold Clinic Margo Hilliard, MD, MPH Senior Vice President of Community Services Harris County Hospital District The Houston Colon Cancer Challenge® Promoting Color Cancer Awareness, Prevention and Advocacy Take the Challenge with Hope Through Grace by joining our 5th Annual Walk-A-Thon! Sponsored By

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Page 1: Walk-a-Thon Brochure 2010

year. But numerous local and national groups are working

prevention, treatment, and research. Join in their battle at

what distance you cover, you’ll be helping to win the raceagainst colon cancer.

Saturday, March 6th, 20108 am

Tom Bass Park IIIPavilion 5

15108 Cullen Blvd.Houston, TX 77047

More than 57,000 Americans will die from colon cancerthis year. But numerous local and national groups are working hard to save lives by supporting colorectal cancer awareness, prevention, treatment, and research.Join in their battle at on March 6th, 2010. This 3-mile walk around Tom Bass Park can help save lives! No matter what distance you cover, you’ll be helping to win the raceagainst colon cancer.

RACE INFORMATION

Saturday, March 6, 2010Tom Bass Park III, Area DrivePavilion 515108 Cullen Blvd.Houston, TX 77047Registration: 8 a.m. – 9 am.Walk begins at 9 a.m.

HOW TO REGISTER

You can register online at www.HopeThroughGrace.org or by calling 713 – 668 - 4673 (HOPE)Registration closes March 3rd, 2010 No money can be transferred at the park.

DAY OF WALK

Entrants are required to sign in between8a.m. and 9a.m. the morning of the walk. You must have pre-registered either online or by sending in this registration form prior to March 3rd, 2010.

POST-RACE

Please join us after the walk for the awards ceremony where we will acknowledge colon cancer survivors, those special angels who we have lost and others who are "Champions the Cause."

TO APPLY ONLINE

www.HopeThroughGrace.org(credit card payments only via Secure PayPal System)

TO APPLY BY FAX

Complete this form with your credit cardinformation, and fax it to HTG at 713-668-6040.

Fax and online registration closes on March 3rd, 2010

TO APPLY BY MAIL

Complete this form and mail this entrywith your payment (check or credit card information) to:

Hope Through Grace, Inc.4660 Beechnut St., Ste. 102Houston, TX 77096

No money can be exchanged at the park. No exceptions.

FOR MORE INFORMATION

About the Walk: Please call Amy Brown713-668-4673 (HOPE)

About Hope Through Grace:

www.HopeThroughGrace.org

Board of Directors

Grace L. Butler, Ph.D.HTG Founder & PresidentProfessor Emeritus University of Houston

Yvette ChargoisThe Houston Defender

Olethia E. Chisolm, M.D.HTG Events CoordinatorKelsey-Seybold Clinic

Brian HerringtonHarrington, Carbone & Allison, LLP

Aretha Johnson, R.N.HTG Vice President Liberty Island Care Homes

Kenneth LevingstonSr. PastorJones Memorial United Methodist Church

Elaine Pearson, M.Ed., MBALCDR, USN (Ret) HTG Secretary/Treasurer

Everett L. Sandles, M.D.HTG HistorianTX Children’s Pediatric Associates

Victor Simms, M.D.HTG Education DirectorKelsey-Seybold Clinic

Margo Hilliard, MD, MPHSenior Vice President of Community ServicesHarris County Hospital District

The Houston Colon Cancer Challenge®

Promoting Color Cancer Awareness, Prevention and Advocacy

Take the Challenge with Hope Through Grace

by joining our 5th Annual Walk-A-Thon!

Sponsored By

Page 2: Walk-a-Thon Brochure 2010

E N T R Y F E E S

W A I V E R :

P A Y M E N T I N F O R M A T I O N

R E G I S T R A T I O N F O R MP L E D G E F O R M

Your Name

Team Name

Address

piZetatSytiC

sserddA liam-EenohP

L emaN tsa

Emergency Contact Name and Tel. (required)

Address

etatS ytiC

E-mail Address

Team name (optional)

(or country if not USA)

Upon registration on March 6th, 2010 you will be required to sign the following waiver:

I know that participating in this HTG event is a potentially hazardous activity. I agree not to enter and participate unless I am medically able. I agree to abide by any decision of an event o�cial relative to my ability to safely complete the event. I am voluntarily entering and assume all risks associated with participating in the event, including, but not limited to, falls, contact with other participants, spectators or others, the e�ect of the weather, including heat and/or humidity, tra�c and the conditions of the course, all such risks being known and appreciated by me. I am also agreeing to the Photo/Video Release which grants Hope Through Grace the permission to photograph myself and any persons that I bring onto the property.

Having read this Waiver and knowing these facts, and inconsideration of your acceptance of this application, I, for myself and anyone entitled to act on my behalf, waive and release Hope Through Grace Inc., Tom Bass Park, the City of Houston and its agencies and departments, its a�liates, o�cers, directors, employees and agents, and all sponsors, and their representatives and successors, from present and future claims and liabilities of any kind, known or unknown, arising out of my participation in this event or related activities, even though such claim or liability may arise out of negligence or fault on the part of any of the foregoing persons or entities.

I grant permission to the foregoing persons and entities to use or authorize others to use any photographs, motion pictures, recordings, or any other record of my participation in this event or related activities for any legitimate purpose without remuneration.

Hope Through Grace envisions a society in which the incidence and mortality rates of colorectal cancer are diminished and ultimately eradicated. HTG participants adopt life changing attitudes, beliefs and behaviors thatpromote wellness and healthy living. To ful�ll this vision, we invite you to join the challenge to stamp out colorectal cancer.

FACTS YOU SHOULD KNOW

Women and men are at equal risk for developingcolorectal cancer.

Colorectal cancer is the #1 non-tobacco-related cancerkiller of women AND men in the United States.

This year in the United States nearly 150,000 people willbe diagnosed with colon cancer and 57,000 deaths will result.

African Americans have the highest incidence and deathrates from colorectal cancer in the United States.

Colorectal cancer screening saves lives.

OUR CORE BELIEF

“No matter what one’s situation in life, there isalways a good hope through the grace of God.”

II Thessalonians 2:16-17

TAKE THE CHALLENGE!

You can make a di�erence in the �ght against colorectal cancerby helping us raise funds for this cause. All funds raised directlysupport Hope Through Grace’s mission and initiatives. This mission includes supporting e�orts to provide colonoscopies for the uninsuredand underinsured.

To get started, go to www.hopethroughgrace.org and under the EVENTS tab you can �nd more information for the Colon Cancer Challenge, and register yourself or a team. You also can use the form below to keep track of your pledges.

Please have your pledges prepay with checks made payable to:Hope Through Grace, Inc. All contributions are tax deductible.

On March 6th bring this form and your pledge’s donations to the registration tent located at :

Pledge Name

Pledge E-mail

Total $

Pledge $

Pledge Name

Pledge E-mail Pledge $

Pledge Name

Pledge E-mail Pledge $

Pledge Name

Pledge E-mail Pledge $

Pledge Name

Pledge E-mail Pledge $

$25 per person

$20 for students (with valid student ID)

Enclosed is my check made payable to Hope Through Grace.

Please charge to my: Visa MasterCard American Express (circle one)_$25 _$20

Faxes and credit card payments are not accepted day of event. No exceptions.

CREDIT CARD #

Exp. Date

CARDHOLDER SIGNATURE

Name as it appears on my card

FOR MORE INFORMATION

Call718-668-4673

Visitwww.HopeThroughGrace.org

Zip

First Name

Please �ll out the following information below to register byMAIL OR FAX only.

Tom Bass Park IIIPavilion 5

15108 Cullen Blvd., Houston, TX77047

Registration is from 8 a.m. – 9 am.