A12 Lodging Request

This form is not for distribution to media or law enforcement. Safe spaces and housing are closed to media and law enforcement. Can you agree to this? *
 
How many other people (not including yourself) are you bringing? *
 
What nights are you planning on being here? *
 
Is mass housing ok? *
 
Which of the following accessibility accommodations does this space need to have for you?
 
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