Mayoral Speaking / Attendance Requests

Print

While you may not be in possession of all event details at the time of request submission, we appreciate you making every effort to submit this form at least six weeks in advance. Requests with very short notice (less than 10 days before the event) may not be processed due to staffing and workload.

To request Mayor Dan Curtis’ participation (attending or speaking) in an event or meeting, please complete this form. We will contact you as soon as possible to let you know if the Mayor will participate.

Please note that if the Mayor is able to attend your event, you will be asked to provide a briefing with more detailed information about the event and participants.

Please try to complete the entire form. 

Please correct the field(s) marked in red below:

Event Overview


Please Note: (*) indicates responses are required.
Event Title
 *
Event Host
 *
Event Location
 *
Date of Event
 *
Mayor’s participation requested start time
 *
Mayor’s participation requested end time
 *
Contact Person
 *
Contact Number 
 *
Contact Email 
 *
Please give a brief description of organization
 *
What is the purpose of this event
 *
Mayor’s Role at the event 

Event Details (optional) 

Length of speaking time
Topic of Mayor’s speech
Type of Audience (e.g. students, professionals, visitors, businesses, elected officials, etc)
Expected audience size
Is there expected media coverage? 
Will this event be videotaped? 
Please list other speakers
Special Notes – Please use this section to include any additional details such as the names of scheduled VIPs that will be attending

Attachments (optional) 

If available please attach an agenda and any promotional items (ie. poster) for the event. You will be expected to provide an agenda a minimum 10 days prior to the event date.

  1. To receive a copy of your submission, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code