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Public Participation Form

INCOMPLETE FORMS WILL NOT BE ACCEPTED This Public Participation Form must be presented to the City Secretary prior to the time that the meeting is called to order. Any documentation you wish to provide should accompany this form when you present it to the City Secretary. This document provided becomes public record and is recorded with materials regarding the City Council.
  • Please provide the name, address, and phone number of any group or organization you represent (if applicable). If not applicable, please type NA
  • I acknowledge that, if called to speak, I will only speak to the agenda item(s) noted above in accordance with the City of Rosenberg Rules of Procedure, and that my comments will be limited to a maximum of three (3) minutes. I agree that I will not indulge in personalities, use language personally offensive, question motives of Members of the City Council, staff or the public, charge deliberate misrepresentation, or use language tending to hold a member of the City Council, staff or the public up to contempt. I understand that if I violate these rules, I am subject to removal from the City Council meeting.

Public Participation Form [PDF]