mayoral-events-request-form

Event information

Once your completed form is sent to the Office of the Mayor, it will be passed to the Mayor to consider. Please allow 15 working days for a response.
Name of the event
Organisation
Date and time of event

Day Month Year
Date
Hour Minutes AM/PM Option
What time is Mayor K (Guru) Gurunathan required to arrive and depart?
From
Time of arrival
To
Time of departure
What is Mayor (Guru) Gurunathan's role at the event?
eg Keynote speaker, cutting ribbon, handing out awards, guest only
If Mayor Gurunathan is unavailable are you happy for this invitation to be extended to the Deputy Mayor or another councillor?

Yes No
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?

Yes No
Contact person on the day
Name
Phone
Email
example@example.com
Who will meet Mayor K (Guru) Gurunathan?
Name
Phone
Email
example@example.com
Where will Mayor K (Guru) Gurunathan 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?

Lectern Powerpoint Microphone Other
Background information
Event summary
Run sheet for program of events

Cancel of
Are there other dignitaries attending/ speaking?

No Yes
Please provide their names and titles.
Dress code
Attendance details
Expected attendance number
Will media be attending?

Yes No
Please provide details
The Mayor’s formal title is His Worship the Mayor of Kāpiti Coast District, Krisnasamy Gurunathan. Once the Mayor has been formally introduced he is happy to be addressed as Mayor Guru or informally as Guru

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

Event information

Contact person prior to event

Contact person on the day

Who will meet Mayor K (Guru) Gurunathan?

Speech details

Background information

Attendance details