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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 in Village meetings. Please advise the Village Clerk 5 days prior to the meeting for special accommodations.
4. First Name*
5. Last Name*
7. Which meeting(s) will you attend?*
9. Requested Accommodations*
11. Contact phone or email
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13. 1. Receive an email copy of this form.
14. Email address

    This field is not part of the form submission.

15. Submit

* indicates a required field