Proclamation Request Form

Proclamation Request Form
Guidelines
- Proclamations are intended to honor or celebrate events or increase awareness of noteworthy issues among Manassas residents. Proclamations are ceremonial and do not carry any legislative or legal value.
- The person(s) making the request should be a City of Manassas resident.
- The request should be made well in advance of the event.
- The City retains the right to modify, edit, or otherwise amend the proposed Proclamation to meets its requirements, needs, or policy determinations.
- The City of Manassas retains the right to decide if the Proclamation will be issued.
Name of requesting party*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Proclamation Title*
Name of the day, week, or month to be proclaimed
Date to be proclaimed*

MonthDayYear
Date
Reason for Proclamation*
Have you received a Proclamation from the City Council in the last 2 years?*

YesNo
If yes, list the proclamation title and date
Proposed Proclamation Language
Please provide 5 to 10 "Whereas" clauses, or upload a draft proclamation.
Note: the proclamation language submitted may be edited, rewritten, or rejected. Not all clauses may be included in the final version of the document.
Upload a draft proclamation

Cancelof
Sample Proclamation
Whereas,*
Whereas,*
Whereas,*
Whereas,*
Whereas,*
Please verify that you are human*
Should be Empty: