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
ckellner@twlt.net
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