Request Hurricane Ida Housing Relief in Atlanta
We are a small group of people creating a housing tree to support people and families displaced by Hurricane Ida. Please provide your information below and we will do our best to match you with available housing for up to 4 days. This is a community-led effort: Please note a few safety disclaimers for both hosts and guests: we ask that items that could be dangerous are not brought inside the homes, we do not do background checks on the hosts, and we ask folks to practice basic COVID19 safety protocols.

We hope we can support people finding temporary housing though this storm.

In Atlanta area and able to host? Go here: https://docs.google.com/forms/d/e/1FAIpQLScyn8Ma63tHIwZ1XrCSc3cazPkh6Vq4ik26ReQTnKhE9fEHPA/viewform
In Google anmelden, um den Fortschritt zu speichern. Weitere Informationen
E-Mail-Adresse *
First Name *
Last Name *
Home address in the hurricane zone *
Home City *
Zip code *
Cell phone *
Current Location *
How many people do you need housing for? *
How many children, what are their ages? *
What day do you expect to arrive in Atlanta? Hosts can offer up to 4 days of housing. *
TT
.
MM
.
JJJJ
Does anyone have a disability or need special accommodations? elderly, medical conditions, limited mobility, wheelchair accessible, etc please describe *
Do you have pets with you? *
Are you ok staying with pets? *
Are you and all the people in your group fully vaccinated for COVID19? *
Do you prefer to stay with someone who is fully vaccinated from COVID-19? *
Emergency Contact's Name
Emergency Contact's Phone
Emergency Contact's email
Do you have transportation while in Atlanta? *
If you have language interpretation needs, please let us know.
Please let us know any additional needs, requests, or questions.
Senden
Alle Eingaben löschen
Geben Sie niemals Passwörter über Google Formulare weiter.
reCAPTCHA
DatenschutzNutzungsbedingungen
Dieses Formular wurde bei oldchapter erstellt. Missbrauch melden
Google Formulare