I Need a Hand - LA

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I Need a Hand - LA

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Name *

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Email

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Synagogue and/or School Affiliation

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Phone Number *

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What best describes you?

I am a senior citizen

I am immunocompromised

Other:

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I'd like to get a phone call for someone to check in

Yes

No

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I'll need help with grocery shopping

Yes

No

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I'll need help with other errands

Yes

No

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I might need help with this also:

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