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2. Confirm you meet the requirements for this position:
   Age 13 to 18 at time of appointment
   Reside in or attend school within the City limits.*

   1. Yes
   2. No
4. Name:*
6. Mailing Address: *
8. Phone Number: *
10. Email Address:*
12. Committee:*

    1. Arts Commission
    2. Sustainability Advisory Committee
    3. Traffic Committee
14. Why do you wish to serve on a City Committee and what do you hope to accomplish?*
16. The Youth Representative shall submit a parent or guardian’s signature acknowledging and consenting to the Youth Representative’s participation and that the Commission meetings are public and subject to the Brown Act.
    Can you provide a parental or guardian's signature as required at the time of appointment? *

    1. Yes
    2. No
18. Contact Information of Parent or Guardian:
    (Name, Phone and Email)*
Leave This Blank:


20. Submit

* indicates a required field