PRCS/Tree Board Remote Public Comment Sign-In

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PLEASE READ BEFORE SUBMITTING FORM:
If you wish to provide oral public comment at an upcoming PRCS/Tree Board meeting, please fill out this form to be added to the Speakers List. The deadline to sign up is by 6:30 p.m. the night of the meeting. Directions for how to participate remotely will be sent to you by 6:30 p.m. the evening of the meeting you have signed-up to speak at. If you have any questions, please contact the Lori Henrich, Administrative Assistant III, at (206) 801-2602 or lhenrich@shorelinewa.gov.

NOTICE: This survey will time out if this form has been open on your screen for more than 30 minutes. In this instance, please refresh the page before filling out and submitting.

STAFF WILL EMAIL YOU TO CONFIRM THAT YOUR FORM HAS BEEN RECEIVED. If you do not hear back by 6:30 the night of the meeting, please call 206-801-2602.

Please correct the fields below:

Please correct the field(s) marked in red below:

1. Meeting Date:

1. Meeting Date:

2. First and Last Name:

2. First and Last Name:

3. Personal Pronouns (Ex. She/Her, He/Him, They/Them, Ze/Zir, etc.)

4. Name Pronunciation (to be used when staff calls your name):

4. Name Pronunciation (to be used when staff calls your name):

5. Telephone # (that you will be using to call in):

6. Residential Address:

6. Residential Address:

7. Email Address:

7. Email Address:

8. Will you be providing comment on an agenda item, or on a topic that is not on the agenda (general comment)?

Comment Topic

9. If commenting on an agenda item, which one?

9. If commenting on an agenda item, which one?

To receive a copy of your submission, please fill out your email address below and submit.
Email Address

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