Today's Date*

First Name*

Last Name*

Street Address

City, State, Zip Code

Phone Number*

Email*

Organization

Event

Name as it should appear on the Proclamation (E.g. Bike Safety Day, Constitution Week)*

Date to appear on Proclamation

What is the deadline for this Proclamation? (Requests must be made three weeks prior to this date.)

Please provide enough information to complete the Proclamation (at least five sentences). See the Example provided on the webpage.*

Is the Proclamation going to be presented during a City Council Meeting?

Yes

No

City Council meetings are the first and third Tuesday of each month, held in the Council Chambers located in Memorial Auditorium, 1300 7th Street, beginning at 8:30 am.

Please indicate which meeting you would like to have it presented.*

1st Tuesday 3rd Tuesday

N/A

Of which Month?

January February March April May June July August September October November December

Is the proclamation going to be presented at an event?*

Yes

No

Event:

Date of Event:

Time of event:

Location of event:

If you would like your proclamation presented by a City Council member, please contact me at pamela.burch@wichitafallstx.gov or 940-761-7404.

Have you requested a Proclamation from the Mayor's Office before?

Yes

No

If "Yes" what was the name and approximate date of the Proclamation?

If the Proclamation is going to be picked up please provide the name and phone number of the person to be contacted when the document is ready.

For questions please contact Pam Burch at 940-761-7404.