Can You Help?

Are you able to help someone get settled, give them a ride or help them move? Do you have a house, apartment, a couch or some space to offer someone temporarily? Please share your information here and we will be in touch asap to discuss options. All information provided on this form is confidential.

Name

First Name

Last Name

Pronouns

Organization

Organization website

Phone

(###)

###

####

Current zip code

Interested in donating housing or safe space?

Best way to contact you

How did you hear about us?

Anything else you would like us to know?

Consent

By using this website, you agree to hold the Rainbow Passage Network harmless from any and all claims, damages, or liabilities arising from your use of the site, including any information or content accessed through it, whether caused by negligence or otherwise.

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All information provided on this form is confidential and is not shared or sold to any third party. Any information contained on this website is not legal advice and should not be treated as such. Please contact an attorney for help with specific legal needs and issues.