2. First Name*
3. Last Name*
5. Address*
7. City*
8. State
9. Zip Code
11. Phone Number*
12. Email Address*
14. Have you attended a Recreation and Events Committee Public Meeting in the last 6 months?*
    -- Select One --YesNo
15. Why do you want to be a Recreation and Events Committee Member?*
Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field