9-25-17 Speaker Forms '
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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
p (Please complete)
Date: C� 12.`��/7 Name: /1A 1/67-L I j�
Address: 310 e,4/14EL I/1 Sr
City: /ATL,4,J T(C Elf c/-1 TL
Phone No.: /0(t-923 -01U E-mail: s(.1_44 TS/Ce,2,427 3Q>!4/-7.07.2.eo,t(
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
1 wish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
and/or
Topic not on the agenda: gL' uDIA-'t Pa,“i rte/(, -s f R-2 '( _O ( (g ( /i4EcIA- S)
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.
11 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 191)
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: q f1 n ' Name:
Address: ! (, 9.-, io .P-. �:...
City: F , '- E ' , r- a C�
Phone No.: " `1 E-mail: , ,
PLEAE COMPLETE AND CHECK ALL THAT APPLY:
1 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.
11 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) /n�I /
Date: 9-2-5-/ 7 Name: ,�( 4c- c, 4v ►V a .
Address: 3s-s— kai f 604
City: •_
Phone No.: r
70 --3-&3 E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
'"lwish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
andfor
D ,B/ ( al(t4
Topic not on the agenda:
(/
P 9
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 I do not wish to address the Commission, but I am opposed to the agenda item.
WELCOMEell
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)
r3
Date: �6 /7 Name: ---r - /
Address: .?07U � ,
City: A
Phone No. L/ 4 COS E-mail: t_ d - ► Ad--
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
-Iwish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
and/or J ,
Topic not on the agenda: J 7` ,_� S`A-a III
i
11 1 wish to address the Commission during the Public Hearing for Agenda Item No. .
IJ I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
I I do not wish to address the Commission, but I am in support of the agenda item.
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
G1 ��" (Please compl�te)
Date: Name: ✓v! ix/�'�
AO
Address: /r4 / 'i c(c
City:
Phone No.: Z1---2-01 ?/
7i- E-mail vv7tom'.- v -6 . 6"
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
Yd lavish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
Lyzand/or
Topic not on the agenda: (/ (-c
1 1 wish to address the Commission during the Public Hearing for Agenda Item No. .
A I am in support of the above agenda item. 0 I am opposed to the above agenda item.
II I do not wish to address the Commission, but I am in support of the agenda item.
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 compl
Date: - . - ab / Name: I v[i /�✓ e il
Address: //7 Y /dl/e,
City:
Phone No.:dc77, ily5- E-mail: /J e ac_) /14'e__ �,1,
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
L� 1 wish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
and/or ,/
Topic not on the agenda: K- S D (-2/t
❑ 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) Ce_ra et r<4.-
Date:
wDate: / —D / Name: /47//6 l -
Address: 3 6 1� i `� S r
City:
Phone No.: E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
El 1 wish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
and/or
Topic not on the agenda: ! ,4 0 7 111 ) (i- 04-1
1 wish to address the Commission during the Public Hearing for Agenda Item No.
3--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 comp!
Date: Name: m\-- Ciy)(
Address: i d `''6r-4
City: �.L J L 2� .
Phone No.: ?a4 -247 - 1 �0 E-mail: ti c 11v\a. 111 \
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ 1 wish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
andfor
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 putdovvns, 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: C f (�
Address: M2ã 1114196fT 1`-€164)
City: /I &'c
Phone No.: go/ 63c-)oe( E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ 1 wish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
andfor
Topic not on the agenda:
I wish to address the Commission during the Public Hearing for Agenda Item No.
1 I am in support of the above agenda item. ❑ I am opposed to the above agenda item.
do not wish to address the Commission, but I am in support of the agenda item.
do not wish to address the Commission, but I am opposed to the agenda item.
WELCOME /D
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: T •z7. \ Name: girl /W , .►
Address: (s ( ' 12Q
City:
Phone No.: 04 b—Ls7 E-mail: OSIGEW.R.1q.pl. C,a,\,N
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
EK'wish wish to address the Commission under Courtesy of the Floor on:
Agenda Item No. P- 9 U ( 7- Z ) 5
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.
1 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.
WELCOME410
• nn ?U1 To the Atlantic Beach City Commission Meeting
ng
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: CI il Name: L.) 116' M I I QJ
Address: � 55 Q l
City: <k1
Phone No.: cT O h" 7S s�_ (p7X? E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ 1 wish to address the Commission under Courtesy of the Floor on:
Agenda Item No.
and/or
Topic not on the agenda: fe-VIACti 11)-60Y-i 5 -We�5 E�`�
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.
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WELCOME I IR
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 srve.
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
%%60 (Please complete)
Date: Name: e?LP i(J Ht.")(A.P_CA e2:
Address: - 1k2 SI-
City: - .
Phone No.: >_yc5 E-mail:
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ 1 wish to address the Commission under Courtesy of the Floor on:
Agenda Item No. 2,e) ("14 nel 63)
and/or ( `1
Topic not on the agenda:
I wish to address the Commission during the Public Hearing for Agenda Item No.
;, am in support of the above agenda item. ❑ I am opposed to the above agenda item.
II I do not wish to address the Commission, but I am in support of the agenda item.
1 do not wish to address the Commission, but I am opposed to the agenda item.