top of page
Untitled design (2)_edited.png
AZ Hugs Families

Welcome to AZ Hugs! We are here to help keep your family safe and cool during the extreme heat. Please fill out the intake form below so we can understand your situation and check availability for our overnight respite program.

Primary Contact Information

Household & Demographic

Are you currently experiencing domestic violence, an unsafe living situation, or pressure/threats from someone controlling your housing, money, or ID?
Yes
No
Prefer not to answer
Other
Are you or a family member currently seeking support for medical stabilization, detox, or substance use recovery?
Yes, seeking immediate treatment or detox placement
Yes, currently in recovery and looking for ongoing support
No / Not applicable
Prefer not to answer
Other

Which best describes your current living situation.

Unsheltered & Public Spaces
Outdoors (Street, sidewalk, alley, or vacant lot)
Public Park, trail, or wooded area
Abandoned building, squat, or construction site
Bus stop, train station, or transit facility
Vehicles & Temporary Transit
Car, truck, or van
Recreational Vehicle (RV) or camper
Public transportation (bus, train, etc.)
Temporary / Doubled Up (Friends & Family)
Staying with friends or family temporarily ("couch-surfing")
Sharing housing due to loss of housing, economic hardship, or similar reason (doubled up)
Temporary Paid Lodging
Motel or hotel paid out of pocket (without voucher)
Motel or hotel paid via emergency voucher / charitable assistance
Emergency & Transitional Housing
Emergency shelter
Transitional housing program
Other

Shelter Status & Waiting Lists

Are you currently on a waiting list for any other local shelters or transitional housing programs?
Yes
No

Immediate Relief & Support Needs

What types of immediate emergency assistance are you currently seeking? (Check all that apply)

Thank you for sharing this with us.

Your privacy is very important to us. Your family's information is private and used only by the AZ Hugs team to help connect you with resources. We never sell or share your personal data.

Because help across the Valley is very limited and wait lists can be long, we might not be able to reach every family right away.

But everything you shared is important. It helps us guide your next steps when help opens up, and it helps us show the community what families need so we can fight for better resources. Change takes time, but we are proud to stand with you and your children.

What happens next:

  • Please look out for your phone or check your email for updates from us.

  • If this is a real emergency, please call 911 right away.

  • If you haven’t already, please call 211 to connect with local community help.

  • Never stay anywhere you do not feel comfortable or safe. Your family's safety always comes first.

bottom of page