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
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.
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