Region of Waterloo Form

Required fields are marked with asterisks (*)


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

Personal information on this form is collected pursuant to Section 31 of the Municipal Freedom of Information and Protection of Privacy Act and will only be used for the purpose of communicating with delegations. A delegation’s name, their organization, and their municipality may be listed on the meeting agenda. Under the Municipal Act, any personal information such as name, address, telephone number, and property location that may be included in a written submission or presentation becomes part of the public record, and may be viewed by the general public. Questions about the collection of this information should be directed to the Clerk’s Office at or 519-575-4400.

How will you be attending the meeting?
Do you require accessible services to participate in the meeting?
What are you speaking as?
Which city or township do you live in?
Do you have an email address? Note: providing an email address allows staff to quickly and easily provide registration confirmation and pertinent meeting details

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