Participant - Request to be Registered

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Use this form to request to be registered to shelter with HAAT Force October 2026 - April 2027.

This form is only a request to be registered. You don't need to fill out the form before you come see us in person at our registration events (posted on our website). For questions about registration, email info@haatforce.org. *

I understand

Full Legal Name *

Best form of contact (email, phone number, community partner) - if community partner, let us know which one *

Phone Number (N/A if you don't have one) *

Email Address (N/A if you don't have one) *

Where did you stay last night? *

Outside

In my car

A congregate shelter

Other:

Do any of these apply to you? Choose all that apply: *

Disability

Adult over the age 65

Family with children under 18

Member of the LGBTQ+ Community

Pet or Service Animal

Pregnant

None of these apply

Required

Is there anything else you would like us to know?

Submit

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This form was created inside of HAAT Force South Metro Inc.

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