4th Annual K&W TecPort 5K Run/Walk Registration Form

  • Check Payment click on registration form, print, complete and return with check payable to:
    Gaudenzia Inc.
    c/o K&W Engineers and Consultants
    470 Friendship Road, Suite 100
    Harrisburg, PA 17111

Please complete the form below to register for the K&W TecPort 5K Run/Walk. You may also register any participating family members. After you submit the required information, you will be sent an email with instructions on how to complete your registration.

Individual Registration:

Emergency Contact:

In the case of emergency during the event, who can we contact?

Participating Family Members:

You may register one child ($40.00) or up to 3 family members ($60.00).  Please fill out the fields below and click "Add" to add another family member. If you are just registering yourself, please skip this section.
Payment Options
Additional Donation or Non Participant Donation - Enter Amount:

Please mail in a check, or call with credit card information.

Thank you for your registration and/or donation. All proceeds will be distributed to Gaudenzia, Inc. and The Woodside Family Center.