Mayoral events request form

Name of the event
Organisation
Date and time of event

DayMonthYear
Date
Hour MinutesAM/PM Option
What time is Mayor Janet Holborow required to arrive and depart?
From
Time of arrival
To
Time of departure
What is Mayor Janet Holborow's role at the event?
eg Keynote speaker, cutting ribbon, handing out awards, guest only
If Mayor Holborow is unavailable are you happy for this invitation to be extended to the Deputy Mayor or another councillor?

YesNo
Contact person prior to event
Name
Phone
Email*
example@example.com
Will the contact person prior to the event also be the contact person on the day?

YesNo
Contact person on the day
Name
Phone
Email
example@example.com
Who will meet Mayor Janet Holborow?
Name
Phone
Email
example@example.com
Where will Mayor Janet Holborow be met at the venue?
Event venue address
Parking instructions
Please ensure there is a reserved clearly marked park for the Mayor that is easily accessible for both entry and exit.
Speech details
Purpose of the speech
eg welcome, keynote address,
Length of speech
Who should the Mayor acknowledge?
Speech content
eg key messages, history, topics you would like the Mayor to cover
What equipment do you have available?

LecternPowerpointMicrophoneOther
Background information
Event summary
Run sheet for program of events

Cancelof
Are there other dignitaries attending/speaking?

NoYes
Please provide their names and titles
Dress code
Attendance details
Expected attendance number
Will media be attending?

YesNo
Please provide details
The Mayor’s formal title is Her Worship the Mayor of Kāpiti Coast District, Janet Holborow. Once the Mayor has been formally introduced she is happy to be addressed as Mayor Holborow or informally as Janet.

There may be occasions when the Mayor has to cancel at late notice due to Council business.
Should be Empty:

Contact person prior to event

Contact person on the day

Who will meet Mayor Janet Holborow?

Speech details

Background information

Attendance details