Fountain Valley Online Forms

2. Act of Kindness Recognition at City Council Meeting (1st or 3rd Tuesday of Each Month)
4. Name of Person/Business to Be Recognized

   If there are more than one person/business to recognize, please submit an additional form individually per recognition.

6. First Name
7. Last Name
9. Business Name (if applicable)
11. Contact Info. (Telephone and/or Email)*
13. Summarize how the person/business spread kindness and time frame when the person/business spread that kindness.*
15. Fountain Valley Resident/Business?*

    1. Yes
    2. No
17. Name of Person Submitting the Recognition
19. First Name*
20. Last Name*
22. Contact Info. (Telephone and/or Email)*
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field