More than 57,000 Americans will die from colon cancer this year, but local and national groups are working to increase awareness, prevention, treatment, and research to save lives. A 3-mile walk will be held on March 6th at Tom Bass Park to help fight colon cancer. No matter the distance walked, participants will be helping to win the race against the disease.
1. More than 57,000 Americans will die from colon cancer
thisyear. But numerous local and national groups are working
year. But numerous local and national groups are
working hard to save lives by supporting colorectal
cancer awareness, prevention, treatment, andin their battle at
prevention, treatment, and research. Join research. TO APPLY ONLINE Board of Directors
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 youyou cover, you’llhelping to win win the race
what distance cover, you’ll be be helping to the race
against colon cancer.
against colon cancer.
www.HopeThroughGrace.org
(credit card payments only via Secure
Grace L. Butler, Ph.D.
HTG Founder & President
Elaine Pearson, M.Ed., MBA
LCDR, USN (Ret)
HTG Secretary/Treasurer
The Houston
Professor Emeritus
RACE INFORMATION
PayPal System) University of Houston
Everett L. Sandles, M.D.
HTG Historian
Colon Cancer
Yvette Chargois
TO APPLY BY FAX
Saturday, March 6, 2010
Tom Bass Park III, Area Drive Complete this form with your credit card
The Houston Defender
Olethia E. Chisolm, M.D.
TX Children’s Pediatric
Associates Challenge®
information, and fax it to HTG at HTG Events Coordinator Victor Simms, M.D.
Pavilion 5
HTG Education Director
Promoting Color Cancer Awareness,
713-668-6040. Kelsey-Seybold Clinic
15108 Cullen Blvd. Kelsey-Seybold Clinic Prevention and Advocacy
Houston, TX 77047 Brian Herrington
Registration: 8 a.m. – 9 am. Fax and online registration closes on March Harrington, Carbone & Allison, Margo Hilliard, MD, MPH
Walk begins at 9 a.m. 3rd, 2010 LLP Senior Vice President of Saturday, March 6th, 2010
Community Services
Aretha Johnson, R.N. Harris County Hospital 8 am
HOW TO REGISTER TO APPLY BY MAIL District
HTG Vice President
Liberty Island Care Homes
Tom Bass Park III
You can register online at Complete this form and mail this entry Pavilion 5
www.HopeThroughGrace.org with your payment (check or credit Kenneth Levingston
card information) to: Sr. Pastor 15108 Cullen Blvd.
or by calling 713 – 668 - 4673 (HOPE)
Registration closes March 3rd, 2010
Jones Memorial United
Methodist Church
Houston, TX 77047
No money can be transferred at the park. Hope Through Grace, Inc.
4660 Beechnut St., Ste. 102 Sponsored By
DAY OF WALK Houston, TX 77096
Entrants are required to sign in between No money can be exchanged at the park.
8a.m. and 9a.m. the morning of the walk. You No exceptions.
must have pre-registered either online or by
sending in this registration form prior to FOR MORE INFORMATION
March 3rd, 2010.
About the Walk:
POST-RACE
Please call Amy Brown
Please join us after the walk for the awards 713-668-4673 (HOPE)
ceremony where we will acknowledge
colon cancer survivors, those special angels About Hope Through Grace:
who we have lost and others who are
"Champions the Cause." www.HopeThroughGrace.org
Take the Challenge with
Hope Through Grace
by joining our 5th Annual Walk-A-Thon!
2. P L E D G E FORM
R E G I S T R ATION FORM
FOR MORE INFORMATION
TAKE THE CHALLENGE! Please ll out the following information below to register by
MAIL OR FAX only. Call
You can make a di erence in the ght against colorectal cancer
718-668-4673
by helping us raise funds for this cause. All funds raised directly Visit
support Hope Through Grace’s mission and initiatives. This mission www.HopeThroughGrace.org
includes supporting e orts to provide colonoscopies for the uninsured First Name
and underinsured.
Las t Name WAIVER:
To get started, go to www.hopethroughgrace.org and under the EVENTS Emergency Contact Name and Tel.
tab you can nd more information for the Colon Cancer Challenge, and
(required)
Upon registration on March 6th, 2010 you will be
register yourself or a team. You also can use the form below to keep track Address required to sign the following waiver:
of your pledges.
City S tate
(or country if not USA) I know that participating in this HTG event is a potentially
Please have your pledges prepay with checks made payable to: Zip
Hope Through Grace, Inc. All contributions are tax deductible.
hazardous activity. I agree not to enter and participate
E-mail Address unless I am medically able. I agree to abide by any
On March 6th bring this form and your pledge’s donations to the Team name (optional) decision of an event o cial relative to my ability to
Hope Through Grace envisions a society in which
registration tent located at : Tom Bass Park III safely complete the event. I am voluntarily entering and
the incidence and mortality rates of colorectal cancer are ENTRY FEES
Pavilion 5 assume all risks associated with participating in the
diminished and ultimately eradicated. HTG participants
15108 Cullen Blvd., Houston, TX
adopt life changing attitudes, beliefs and behaviors that
77047 event, including, but not limited to, falls, contact with
promote wellness and healthy living. To ful ll this vision, $25 per person
other participants, spectators or others, the e ect of the
we invite you to join the challenge to stamp out colorectal
cancer.
Registration is from 8 a.m. – 9 am. weather, including heat and/or humidity, tra c and
$20 for students (with valid student ID)
the conditions of the course, all such risks being known
FACTS YOU SHOULD KNOW Your Name and appreciated by me. I am also agreeing to the
P A YMENT INFORMATION
Team Name
Photo/Video Release which grants Hope Through Grace
Women and men are at equal risk for developing
Enclosed is my check made payable to Hope Through Grace. the permission to photograph myself and any
colorectal cancer. Address
persons that I bring onto the property.
City S tate Zip Please charge to my: Visa MasterCard American Express (circle one)
_$25 _$20
Colorectal cancer is the #1 non-tobacco-related cancer Having read this Waiver and knowing these facts, and in
Phone E-mail Addres s
killer of women AND men in the United States. Faxes and credit card payments are not accepted day of event. No exceptions. consideration of your acceptance of this application, I,
CREDIT CARD # for myself and anyone entitled to act on my behalf,
This year in the United States nearly 150,000 people will
Pledge Name
waive and release Hope Through Grace Inc., Tom Bass
be diagnosed with colon cancer and 57,000 deaths will Exp. Date
Park, the City of Houston and its agencies and
result. Pledge E-mail Pledge $
CARDHOLDER SIGNATURE departments, its a liates, o cers, directors, employees
Name as it appears on my card
and agents, and all sponsors, and their representatives
African Americans have the highest incidence and death Pledge Name
and successors, from present and future claims
rates from colorectal cancer in the United States. and liabilities of any kind, known or unknown, arising
Pledge E-mail Pledge $
out of my participation in this event or related activities,
Colorectal cancer screening saves lives. even though such claim or liability may arise out of
Pledge Name
negligence or fault on the part of any of the foregoing
persons or entities.
OUR CORE BELIEF Pledge E-mail Pledge $
I grant permission to the foregoing persons and entities
“No matter what one’s situation in life, there is Pledge Name to use or authorize others to use any photographs,
always a good hope through the grace of God.” motion pictures, recordings, or any other record of my
Pledge E-mail Pledge $
participation in this event or related activities for any
II Thessalonians 2:16-17 legitimate purpose without remuneration.
Pledge Name
Pledge E-mail Pledge $
Total $