Delegations to Council Application

Applicant name:
Home address:
Please note: all delegations or petitions are limited to ten (10) minutes.
Purpose of delegation:
Note: If requesting action of Council, you must detail all information necessary to inform members of Council of your request. If necessary, add a separate sheet and attach to thisform.
Name of individual(s) making presentation:
Will you be providing supporting documentation?
If yes please complete the following:
Technical requirements needed:
I understand and agree to the procedures for Delegation and/or Petition as detailed within this Schedule and agree to abide by them at all time.