Printable Race Form
Transcription
Printable Race Form
PAMELA’S RACE & WALK Seventeenth Seventeenth Saturday- May 2, 2015 at Orchard, TX, 8 miles NW of Rosenberg off HWY 36 - Artesian Park Houston: Hwy 59 South through Rosenberg to Spur 10. Turn right onto Spur 10. Turn left onto Hwy 36 then right at first blinking light @ Missouri St, right on Galveston St. Artesian Park is one block on right. San Antonio: I-10 East to SEALY, TX. Exit Hwy 36 East to Orchard. Left on Missouri St, right on Galveston St. Contact: Catherine Kellner 281-435-9601-cell [email protected] Race Day-Late Registration & Packets: 6:30AM-7:45AM. RACE & WALK START AT 8 AM Race Course: 5K & 10K USATF Cert# TX09149ETM; TX09150ETM, Flat, 100% Asphalt Paved, Scenic Country Roads. PRE-REGISTRATION $20.00, REGISTRATION Received after April 18, 2015, $25.00. Register @ EZTOREGISTER.COM Follow ‘Pamela’s Race’ on Face Book or go to: pamelasraceandwalk.weebly.com Raffle, Race Party, SILENT AUCTION, Race Awards for Male & Female First Overall Plus 3 Places for Age Groups: Below 19, each 10 Years between 20 & 69, & Above 70 & Masters Overall Male & Female Benefits: Pamela Catherine Haas Memorial Scholarship Fund, Inc. Pamela Catherine Haas 7/27/73 – 7/15/98 The PAMELA CATHERINE HAAS MEMORIAL SCHOLARSHIP FUND, INC. was organized in memory of Pamela Catherine Haas who was tragically killed in an auto accident on July 15, 1998. Pamela graduated from Brazos High School in 1991 and Texas Lutheran University in May 1998. She was very involved in community service work. Pamela taught Girl Scouts as Director of Horseback Riding Program at Camp Mitre Peak for eight summers. (On July 22, 1999, the riding arena at the camp was named “Pamela “Rebel” Haas Arena” in her memory.) She participated in the Honduran Veterinary Project each of five summers performing veterinary work with the people of Honduras. Pamela worked as veterinary technician while a student at Texas Lutheran University. She was active in Fort Bend County 4-H, Volleyball, Basketball, Track, Swimming, Band, Flag Corp., F.H.A, Fort Bend County Fair, Houston Livestock Show, and Lone Star and Permian Basin Girl Scout Councils. Pamela was a member of the Certified Horsemanship Association and was certified in both English and Western Riding. Pamela loved animals. The OBJECTIVE of the PAMELA CATHERINE HAAS MEMORIAL SCHOLARSHIP FUND, INC. is to financially assist students who have interests similar to those of Pamela Haas. ENTRY BLANK: MAIL WITH CHECK FOR ENTRY FEE Separate Here Separate Here Checks and mail to: Pamela Catherine Haas Memorial Scholarship Fund, Inc. P. O. Box 101, Orchard, TX 77464 NAME: _________________________________________ Date of Birth: ____/____/____ Sex: M F (Circle One) ADDRESS: _________________________________________________________________E-Mail: CITY: ______________________________ST: _____ZIP: ____________ Event: 5K Race 10K Race Pleasure/Fitness Walk PHONE: _____/_____-________ (Circle One) Pre-registrations $20.00 Registration after April 18, 2015 $25.00 Waiver Statement: T-Shirt Size: S M L XL (Circle One) “In consideration for your acceptance of this entry, I the below signed, intending to be legally bound for myself, my heirs, my executors and administrators, waive and release any and all rights and claims for damages I may have against the Pamela Catherine Haas Memorial Scholarship Fund or any groups or individuals associated with this event or with the Pamela Catherine Haas Memorial Scholarship Fund for any and all injuries suffered by me in this event. I attest and verify that I am physically fit and have sufficiently trained for the completion of the event. Further, I hereby grant full permission to any and all of the foregoing to use photographs, videotapes, motion pictures, and recordings of me, or any other record of this event, for any legitimate purpose. In addition, I understand that Strollers, Bicycles and Roller Blades are not allowed on the Race or Walking courses.” SIGNED: __________________ __________________________________________________ DATE: ____/____/____ Parent or Guardian Signature (If Participant is under 18): _____________________________________________________ DATE: ____/____/____ Pamela Catherine Haas Memorial Scholarship Fund P. O. Box 101 Orchard, TX 77464 BUSH, LINDSEY, WINGATE FARM-ORCHARD ON THE RUN-HOUSTON & CLEAR LAKE FINISH LINE SPORTS-SUGAR LAND FLEET FEET-HOUSTON TEXAS RUNNING CO.-SUGAR LAND DR. STEPHEN WATSON-SUGAR LAND SAS SHOE MAKERS-SAN ANTONIO CHAMPIONSHIP TROPHIES-ROSENBERG ORCHARD UNITED METHODIST-ORCHARD TEXAS COWBOY CHURCH-ORCHARD WALLIS NEWS REVIEW-WALLIS RUNNER TRIATHLETE NEWS-HOUSTON SAVON DRUGS-EAST BERNARD COASTAL BUTANE-ROSENBERG RUNNER’S WORLD MCDONALD’S-ROSENBERG Come and participate in the race and walk to continue the celebration of the life of Pamela Catherine Haas. A perpetual Memorial Scholarship Fund has been established in her name to assist high school graduates in advancing their education. Your participation in this seventeenth annual event will help provide this valuable community asset. All donations received are greatly appreciated. A receipt will be provided upon request to satisfy the IRS for your charitable contribution. SPONSORS: PAMELA’S RACE AND WALK