Welcome

Please complete this form if you would like to speak at a Regional Council or Committee meeting.

Note: Regular meetings are open to the public so you do not need to register unless you wish to speak

How will you be attending the meeting?

In person in the Council Chamber

Virtually via Zoom

What is your first name?

What is your last name?

Phonetic Pronunciation

Preferred pronouns?

What are you speaking as?

An individual

A member of an organization

A Regional Employee

What is your address?

What is the unit number (if applicable)?

Which city or township do you live in?

Waterloo

Cambridge

Kitchener

North Dumfries

Wellesley

Wilmot

Woolwich

Other (please specify)

What is your postal code?

What is your phone number?

Do you have an email address? Note: providing an email address allows staff to quickly and easily provide registration confirmation and pertinent meeting details

Yes

No

Supporting Documents, Presentations, Pictures? Must be submitted at least 48 hours before meeting to be included on the addendum agenda.

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Region of Waterloo Form

Welcome