Proclamation Request

3. PROCLAMATION REQUEST

5. Requested Title for Proclamation:*

7. Requested Date and Time for Presentation of Proclamation*
   Requested Date and Time for Presentation of Proclamation

   Requested Date and Time for Presentation of Proclamation

8. Alternate Requested Date and Time for Presentation of Proclamation
   Alternate Requested Date and Time for Presentation of Proclamation

   Alternate Requested Date and Time for Presentation of Proclamation

   (optional)

10. Name of Event where Proclamation will be presented*

    (ex: City Council meeting, festival, fundraiser, etc.)

12. Name of Your Organization*

13. Your Organization's Website

15. Address*

17. City*

18. State*

19. Zip*

21. Provide Name(s) and Information of Contact Person(s):

23. First Name*

24. Last Name*

26. Daytime Phone*

27. Evening Phone

28. Email Address*

30. First Name

31. Last Name

33. Daytime Phone

34. Evening Phone

35. Email Address

37. First Name

38. Last Name

40. Daytime Phone

41. Evening Phone

42. Email Address

44. Which Individual(s) will attend the presentation of the proclamation?*

46. Please provide any additional information that will help us process your Proclamation Request

48. Proclamation Language

    (Please provide proposed language for proclamation above or you may attach a document below.)

50. Attach proposed proclamation language

52. Policy and Procedures for Requesting Proclamations
    Click here to read Policy and Procedures for Requesting Proclamations before submitting proclamation request

54. I have read the City of New Braunfels Policy and Procedures for Requesting Proclamations and all information provided in this application and its attachments is true and correct.
    Please type your name below before submitting this form and if you agree with the above statement.

    Please type your name below before submitting this form and if you agree with the above statement.

56. Your Name*

60. For City Secretary's Office Use Only:

62. Application Date
    Application Date

63. Approved / Disapproved

    1. Approved
    2. Disapproved

64. Calendar

    1. Added to Mayor's Calendar
    2. Added to Councilmembers' Calendar(s)

66. Comments:

Leave This Blank:


69. 1. Receive an email copy of this form.
70. Email address

    This field is not part of the form submission.

71. Submit

* indicates a required field