Register for the 2021 KHTA Gateway 5K Run/Walk – Knobstone Hiking Trail Association

• Race donation: Benefit for the KHTA
$20/Individual; $10/Additional Family Members
$10/KHTA Individual Members; $5/Additional KHTA Family Members

First Name^*

Please fill out a separate registration for each participant.

Last Name^*

Male/Female^*

Male
Female

Age

Address

Please enter this participant's address

Phone Number

5K Run or Walk?^*

Run
Walk

Additional Contestants, Comments?

Email^*

Individual/1st Member of a Family

Individual/1st Member of a Family ($ 20)

Additional Family Members

Additional Members ($ 10)
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KHTA Members - Individual/1st Family Member

KHTA Members - Individual/1st Family Member ($ 10)

KHTA Members - Additional Family Members

KHTA Members - Additional Family Members ($ 5)
×

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