On the Move for Special Needs, October 3, 2026

On the Move for Special Needs

October 3, 2026, 9AM from wherever you are! Please take pictures and text them to Cyndee at 925-768-7137 or email to info@safeharborhas.org
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address

Confirmation Emailexample@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Other Participant Information

Total number of t-shirts must match the number of paid participants. Registrations received after September 15th are not guaranteed to receive their apparel in time for the event, but we will do our best!
List first and last names of the people (and pets) in your group. Please separate each person by a comma.
How many SMALL t-shirts do you need for your group?
How many MEDIUM t-shirts do you need for your group?
How many LARGE t-shirts do you need for your group?
How many X-LARGE t-shirts do you need for your group?
How many 2X-LARGE t-shirts do you need for your group?
How many 3X-LARGE t-shirts do you need for your group?
How would you like to get your t-shirt and/or bandana?
Other Information
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We are excited you are joining us for this fun event!

Number of adults are you registering. Paid participants receive a free t-shirt. Adult sizes only.*

$50.00 Quantity

Number of youth (12-18yrs of age) you are registering. Paid participants receive a free t-shirt (adult sizes only)

$25.00 Quantity

Number of youth (11 and younger) you are registering.

This age group is free and does not receive a t-shirt. If you want a t-shirt for someone in this age group, please register them as Youth 12-18 years

Free Quantity

Pets

Paid pets receive a pet bandana.

$15.00 Quantity

Total

Payment Methods

Debit or Credit Card

ACH Bank Transfer

On the Move for Special Needs