Required fields are marked with asterisks (*)

Delegation Request Form

Name of Delegate(s) (comma separated)

Delegation Status

Attending as an Individual

Representing a Group / Organization / Business

Name of Group / Organization / Business

Subject Matter

Recommendation to Council / Committee (Please indicate below what action you would like the County of Brant to take with respect to the above-noted subject matter).

Contact Name

Contact Phone Number

Email Address

Mailing Address

Will a PowerPoint presentation be made?

Yes

Please be advised that submitting a delegation request is not a confirmation that the delegation has been confirmed. The Clerk’s Department reserves the right to have the delegation appear at a different meeting than the one requested if the topic of the delegation better aligns with the mandate of a different Committee.