Saturday, February 7th at Panorama Country Club
On December 29th, Tommy Beavers, an 11year old at Meador Elementary School was in a 4 wheeling accident. He sustained undetermined injuries to his brain. Tommy was on a ventilator, but after two days began breathing on his own; however, remains unresponsive. Although, improvements have been seen, physician’s state it will be 6 to 12 months before his prognosis will be known. Tommy is currently at the Memorial Hermann Hospital in the Houston Medical Center.
Tommy’s father, Billy Beavers is the Lieutenant of the Panorama Village Police Department and has been an active member of Panorama Village since 1999. Tommy’s stepmother, Sarah was a nurse at Conroe Regional Hospital and currently works for Trinity Healthcare Network in Spring. Tommy’s mother and stepfather, Jill and Craig Meekins own Budget Movers in Willis.
Tommy, along with his family, has a long road ahead of them. They need your support, prayers, thoughts and donations. Be a part of Tommy’s Team and run or walk on February 7th.
TIME: Registration begins at 7am. Run begins at 8 am.
LOCATION: Panorama Country Club, 73 Greenbriar Dr. Panorama Village
Run/Walk will begin and end at this location.
FEE/DONATION: $20 per participant registering before February 3, 2009
$25 per participant registering the day of the race.
FEE INCLUDES T-SHIRT AND POST RACE REFRESHMENTS.
REGISTER 2 WAYS:
1. MAIL (no refund). Please fill out form, make check payable to Tommy Beavers Fund and mail to: Team Tommy 5K Run/Walk, 2010 Cedar Lane, Conroe, TX 77301
2. RACE DAY REGISTRATION
(cash or check only)
One entry form per participant. Please Print.
NAME: ______
ADDRESS: ______
CITY: STATE: ZIP: ______
PHONE: ______EMAIL ______
AGE: ______SEX: M F T-SHIRT SIZE: (circle one) Adult S M L XL XXL Kids S, M
In consideration of your permitting me, my child, ward or heir to participate in any programs or events pertaining to the TEAM TOMMY MEDICAL FUND 5K RUN/WALK , I, the undersigned, or if under the age of 18, my parent or guardian, INTENDING TO BE LEGALLY BOUND HEREBY WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES, WHETHER BASED UPON NEGLIGENCE OR ANY OTHER THEORY OF LAW, which I, my child, ward or heir and our parents, guardians, heirs, executors, representatives, administrators, and assigns may have against The Beavers Family, The Meekins Family, friends, family and volunteers on behalf of Tommy Beavers, any participating sponsors, any affiliates or subsidiaries, officers, directors, shareholders, agents and employees associated with said corporations and associations, the municipalities or counties in or through which programs or events take place or are conducted, as well as any other person, entity of sponsor connected to such programs or events, and their heirs, executors, representatives, administrators, successors, assigns, subsidiaries, officers, directors, shareholders, employees and agents, FOR ANY AND ALL INJURIES OR DAMAGES WHICH I, MY CHILD, WARD OR HEIR MAY SUFFER while taking part in such programs events or as a result thereof. Specifically, I verify that I, or my child, ward or heir is in good physical health and able to participate in and/or complete the following event.
SIGNATURE: ______
(Required of all participants. Participants under 18 require parent or guardian signature).