7-24-17 Speaker Forms WELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic
process deserves. This allows for better public input and supports making the best decisions for the citizens
who we are here to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
(Please complete)
Date: Name: `)((A AA-11.(1-4 VeaKeAsS
Address: \t2 ' 1'e-\ `� Q k (voi & )
City: 1\'2 •
Phone No.: E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
•
)4vish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
and/or
Topic not on the agenda: CNMVAN,VC (A 4VP.A.
' ❑ I wish to address the Commission during the Public Hearing for Agenda Item No. .
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of the agenda item.
❑ I do not wish to address the Commission, but I am opposed to the agenda item.
WELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic
process deserves. This allows for better public input and supports making the best decisions for the citizens
who we are here to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
***************************************************************************************************************************
SPEAKER REQUEST FORM
(Please complete)
Date: 24/ - / Name: r .115 rt,R 0
Address: j 7 P
City: A . 6 -
Phone No.: 3:S' v
E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
t wish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
and/or
Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of the agenda item.
❑ I do not wish to address the Commission, but I am opposed to the agenda item.
WELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic
process deserves. This allows for better public input and supports making the best decisions for the citizens
who we are here to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
***************************************************************************************************************************
SPEAKER REQUEST FORM
(Please complete)
Date: Name: s (oSqrbo'e
Address: i ice r \ I
City: �,�]
Phone No.:0(Q k2 `71 06 E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
f
LI wish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
and/or
Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of the agenda item.
0 I do not wish to address the Commission, but I am opposed to the agenda item.
WELCOME •
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic
process deserves. This allows for better public input and supports making the best decisions for the citizens
who we are here to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
***************************************************************************************************************************
SPEAKER REQUEST FORM
' I (Please complete) n
Date: —1 Z `[ - 1 -7 Name: L I NO �- L. ANI1 E
Address: - 2 '2 A L C W.
City: ASL 3 z -2, .5
Phone No.: 2 Lk, /0.7g E-mail: l !AAA . W1. '4 ® l/VYY 1 1. LOY✓l
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
wish to address the Commission under Courtesy of the Floor on:
Agenda Item No. d ^ t -1
and/or
Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of the agenda item.
❑ I do not wish to address the Commission, but I am opposed to the agenda item.
WELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic
process deserves. This allows for better public input and supports making the best decisions for the citizens
who we are here to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
(Please complete)
Date: 2,0 Name: /
Address: //yc-A,sfe.x4,.... -e_-
City: e/ L tZ
Phone No.: 47 //YS E-mail: /ect.ti - Oty
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ I wish to address the Commission under Courtesy of the Floor on:
Agenda Item No. -�—
and/or
Topic not on theagenda: / `7��# L.. geig
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of the agenda item.
❑ I do not wish to address the Commission, but I am opposed to the agenda item.
WELCOME /0
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic
process deserves. This allows for better public input and supports making the best decisions for the citizens
who we are here to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
***************************************************************************************************************************
SPEAKER REQUEST FORM
7-z
/-}- _ � (Please complete) NO Date: lName: J��v t/ (4,\
Address: s u L �f rhe
City: Nt
Phone No.: J L 5 l ) E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
I wish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
and/or
Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of the agenda item.
O I do not wish to address the Commission, but I am opposed to the agenda item.
WELCOME QNS jf
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic
process deserves. This allows for better public input and supports making the best decisions for the citizens
who we are here to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
(Please Lte5
lete)
AA
Date: ?1 2 / 7 Name: COCC•A1
Address: 6 S w��' '�. ,�' I S A
City: Acif,a 1-7 f
�
Phone No.: a t`_ :��Yn�'3v o E-mail: I:,� p ' \1 cc-x(1 f o� O� co I_ Co 1^A
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
[I, I wish to address the Commission under Courtesy of the Floor on:
Agenda Item No. Gj . ��vt o
and/or
Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ o not wish to address the Commission, but I am in support of the agenda item.
❑ I do not wish to address the Commission, but I am opposed to the agenda item.
WELCOME 0
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic
process deserves. This allows for better public input and supports making the best decisions for the citizens
who we are here to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
ICollaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
I (Please complete)
Date: 7-)__L-4— t7 Name: tZAv+S Cr"P`—ry`^A'''')
Address: ) c3-� le--rek LAO U ICC t- br--
City: ' int'? .
Phone No.: `, cr-) I/'"OFO E-mail: P L S-l0r-� i $3ISO s(4LL . co ."--
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
E I wish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
and/or
Topic not on the agenda: AM A `-QC.: cam' sS
❑ I wish to address the Commission during the Public Hearing for Agenda Item No. .
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of the agenda item.
O I do not wish to address the Commission, but I am opposed to the agenda item.
WELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic
process deserves. This allows for better public input and supports making the best decisions for the citizens
who we are here to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
V .4
(Please complete)
Date: 2O Name: A/a{t1C9 4/A(`,4(2 Aie\(N_ -
/n / 250,6--,,,,(..s-,47J
Address:
City: 196 2 2233
L' �Phone No.: 2g7- W 7� E-mail: n V i 2� o(.._6 C,eiyJ,‘
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
I wish to address the Commission under Courtesy of the Floor on:
Agenda Item No. (6 lD.
and/or
Topic not on the agenda:
I ❑ I wish to address the Commission during the Public Hearing for Agenda Item No. .
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
i 111I do not wish to address the Commission, but I am in support of the agenda item.
111 I do not wish to address the Commission, but I am opposed to the agenda item.
WELCOME 0
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic
process deserves. This allows for better public input and supports making the best decisions for the citizens
who we are here to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
*****,,,,,, ****************************************************************************************************************
SPEAKER REQUEST FORM
(Please complete)
Date: --, '4 7Name: PazYnela_ )y L.., c_,La.,t.,_-6
Address: ,� 5fi JT
City: >\ 4LA1-�1c- �`b uC.L 1
Phone No.: 9 C y l I1 (^-��93c1 E-mail: F\`1" L- 6 C H I- Le oto I . C c ry-1
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
g I wish to address the Commission under Courtesy of the Floor on:
Agenda Item No. I I - 0 q
and/or
Topic not on the agenda: Pal k < <l c)
wish to address the Commission during the Public Hearing for Agenda Item No. / 7 Ii rc
N I am in support of the above agenda item. ❑ lam opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of the agenda item.
❑ I do not wish to address the Commission, but I am opposed to the agenda item.
WELCOME
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic
process deserves. This allows for better public input and supports making the best decisions for the citizens
who we are here to serve.
We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
***************************************************************************************************************************
SPEAKER REQUEST FORM
�
J (Please complete) �i�
Date: / - 2L( f 1 Name: C�1 .
V1 ��4 i / 1
Address: A
—S�
City: + ' P.
Phone No.: t� r' 356 7 E-mail: 11A �Mc1"-} 414A , . L �
I PLEASE COMPLETE AND CHECK ALL THAT APPLY:
I wish to address the Commission under Courtesy of the Floor on:
Agenda Item No. •
and/or
Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
•
❑ I do not wish to address the Commission, but I am in support of the agenda item.
O I do not wish to address the Commission, but I am opposed to the agenda item.