INSCRIPCIÓN PARA REUNIONES

We remain committed to providing the public opportunity to address the board.

Only those who sign up to speak through the form below or by calling 512-978-9190 and leaving a voicemail message 90 minutes prior to the meeting will be allowed to speak. We appreciate your patience.

You must sign up 90 minutes prior to the scheduled start of the meeting (4:00 p.m. for a 5:30 p.m. start time).

Sign Up to Speak

All fields with * are required.

Name/Nombre(Required)

First

Last

Preferred Language/Idioma Preferido(Required)

Organization / Organización

Write resident if speaking only for yourself / Indique habitante si se representa a sí mismo.

Address/Domicilio(Required)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Email/Correo Electrónico

PhonePhone/Teléfono(Required)

A Central Health staff member will contact you the day of the meeting to verify you wish to speak. / Un miembro del personal de Central Health se comunicará con usted el día de la reunión para verificar que desea hablar.

At which meeting do you wish to speak? / ¿En qué reunión desea hablar?(Required)

If you selected other, please specify/Favor de especificar

Please specify the meeting during which you wish to speak. Favor de especificar la reunión en la cuál desea hablar.

Will you attend in person or virtually? / ¿Asistirás en persona o virtualmente?(Required)

In Person / En persona

Virtually / Virtualmente

Phone

This field is for validation purposes and should be left unchanged.