Megillah Reading for the Homebound

If you, or someone you know, is homebound and cannot hear the Megillah in Shul,
or if you are a Baal Korei available to read the Megillah for the homebound,
please complete the form below so Rabbi Schrier can make the necessary arrangements.

If you know of more than one homebound person who needs someone to come read the Megillah, 
kindly complete a new form for each household.