EmailMe Form - Rosenwald Acres' Historical Collection Form

YOUR FULL NAME: *

Your relationship to the Honoree:

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This section collects the basic facts about the individual being honored, establishing their connection to either Rosenwald School#1 or the Kittrell Wilson Cemetery.

Full Name of the Honoree: *

Maiden Name (if Applicable)

Birth Date

MM / DD / YYYY

If known.

Death Date

MM / DD / YYYY

If known

IF Birth/Death Dates are fuzzy..

Provide an estimate here.

Connection to Rosenwald School #1 or ...the Kittrell-Wilson Cemetery:

Years / Grades at the School (if Known)

Highest grade or certification achieved:

HONOREE: PHOTO...

Please upload a photo of your loved one for the "photo headstone" or "biographical posters". Don't worry, if faint, we can clean it up

Upload a digital photo here as a .jpg, .pdf, or .png

Additional Photo#1

Additional Photo#2

Who Dat?

If any of the photo(s) provided above are of multiple folk, let us know who they are here.

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LIFE & LEGACY:

This section captures the heart of the Centennial Project: the personal stories, achievements, and memories that give life to the historical record .

Do you have any stories shared about the HONOREE?...or the community's resilience, pride, and dedication to education?

(e.g.,Memorable events at the Rosenwald School Property...horse races, yardgames, famous and tragic events / lynchings, etc

Share a cherished memory of the honoree's connection to the Rosenwald School or the community...

(e.g., "They walked three miles to school every day," "They were the first in their family to learn to read," "They taught in the two-room schoolhouse.")

After graduating from Rosenwald School #1, did the Honoree attend Samuel Walker Houston High School or another institution? What career did they embark on?

(e.g., "They went on to become a teacher at ____," "They served in the military," "They worked in the Texas oil industry.")

Memorable events File upload

You may upload a word or .pdf file here if you need to say more than the box above allows.

Please upload any relevant or miscellaneous documents

Obituaries, newspaper clippings, report cards, letters, etc.

Do you have a copy of an old school photo, class roster, or other memorabilia?

Upload them here.

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TELL US ABOUT YOURSELF...

Name *

First Last

CELL *

### - ### - ####

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

ADDITIONAL NOTES:

COUNT ME IN!...I WANT TO HELP! Check all that apply. *

I/WE WANT TO VOLUNTEER.

I/We WANT TO DONATE / BE A SPONSOR!

I/WE WANT TO Help with the EarthDay Reunion

I/WE WANT AN EARTH DAY BOOTH ($50-$$75)

Other

(More info: https://RosenwaldAcres.com . Questions? Text 832-598-7469 or email us at rosenwaldacres@gmail.com )

I would like to receive information and updates

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CONFIRMATION & SIGNATURE:

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DISTRIBUTION: I understand that all DONATED ITEMS, PHOTOS, VIDEOS AND MEMORABILIA SUBMITTED to this project become the digital/intellectual or physical property of the Samuel W. Houston Museum and / or Rosenwald Acres CDC to share and display as they so choose.

I also understand that funds, made payable and sent to the Rosenwald Acres website will go to a special account set up to finance the “Rosenwald History Village Project” ...with 50% of the net proceeds be used to maintain the grounds of the Rosenwald School #1 plus the restoration of the gate, access trail and graves housing the remains of Rosenwald School founders in the Kittrell-Wilson Cemetery behind Rosenwald School Acres.

I understand also that 25% of net proceeds received from this website / project will be donated to the Samuel W. Houston Museum and Cultural Center with the final 25% for project administration and earmarked by the board to aid in the creation of grid-free green, earth-friendly, sustainable STR structures housing historical displays that pay homage to the attendees of the former school.

INDEMNIFICATION: I herein indemnify Rosenwald Acres, the Samuel W. Houston Museum, The Rosenwald Centennial Project Sponsors, contributors, vendors, participants, artists, The Wiseman Company, and this project's volunteers, associates and employees from any and all claims that may arise from my participation in the project or future events.

E-SIGNATURE AUTHORIZATION: Typing my name in the signature block below signifies that I adhere to this Electronic Communication & Signature feature, herein granting consent to utilize the input as a legally binding electronic signature and hereby give my affirmative consent to provide this electronic signature as described herein. To the fullest extent permitted by law, project organizers herein accept this e-signature as legally equivalent to a handwritten signature to signify an Agreement. This policy does not limit organizer's right or option to conduct a transaction on paper or in a non-electronic form, nor to have documents provided / available on paper when required by applicable policies, laws or regulations.

SIGNED AND AGREED *

BY TYPING MY LEGAL NAME HERE, I signify my confirmation of the above.