HURRICANE IDA

Name *

First Name

Last Name

Cell *

(###)

###

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Please check all that apply

Need a place to stay (Please note if you have animals)

Have a place for LDJA members to stay (Please note if animals are welcome)

Need someone to cover my docket(s)

Can cover someone's docket(s)

Need a place to hold court remotely

Need a website built for my court

Need tech support

Need a computer/iPad

Have a computer/iPad

Need help with cleaning up

Offer to help cleaning up

Other