2. Request for Accommodation
   Any person who has a qualifying disability as defined by the Americans with Disabilities Act shall not be excluded from participation at City of Delafield meetings. Please advise the City Clerk 5 days prior to the meeting for special accommodations.
4. First Name
5. Last Name
7. Which meeting will you attend?*
9. Required Accommodations*
   Max 1200 characters
11. Contact Phone or Email
    If you would like us to contact you to discuss your accommodations, please include a phone number or email address.
Leave This Blank:


13. Submit

* indicates a required field