Proclamation Request

City of Round Rock

Proclamation Request
- All proclamation requests must be submitted via this form.
- The City reserves the right to deny any request for any proclamation and all proclamations must be approved by the Mayor.
- Any requests for a proclamation to be read at a City Council meeting must be made at least 1 month in advance of the meeting due to agenda publication deadlines.
- Any requests to be read at an event other than a City Council meeting must be made at least 2 weeks in advance for scheduling purposes.
- If the request is approved, the Mayor and Council's Assistant will be in contact with you regarding scheduling times and locations.
Date of Request*

MonthDayYear
Name of Person Making Request*

First NameLast Name
Name of Organization*
Contact Phone Number*

Area CodePhone Number
Contact Email Address*
example@example.com
Date Proclamation Needed

MonthDayYear
Please state below what you are requesting to have proclaimed (i.e. topic of proclamation)*
Is this for a local organization?*

YesNo
Is this being requested for a City Council meeting, to be read at an event, or for pick up?*

Council MeetingRead at EventPick Up Only
What is the requested City Council meeting date? (must be at least 4 weeks out)*

MonthDayYear
Have you contacted the Mayor and Council's Assistant at tambrose@roundrocktexas.gov to coordinate event attendance? (This is required to determine availability)*

YesNo
What is the date of event? (must be at least 2 weeks out) *

MonthDayYear
HourMinutesAM/PM Option
Please indicate who you are requesting to read the proclamation

MayorCouncilmember
Councilmember name (if preference)
**Please email Executive Assistant to Mayor and Council to request and/or coordinate having the proclamation read at an event. This is required to ensure availability.
If requesting for pick up only, please specify date needed by? (must be at least 2 weeks out)

MonthDayYear
It is preferred that you already have the proclamation written prior to requesting it from the City.
Do you have proclamation wording already?*

YesNo
If YES, please include it with this request form.
Upload Proclamation*

Browse Files

Cancelof
If NO, please provide ALL and AS MUCH pertinent background, information and details needed for us to write the proclamation
Please enter any pertinent background, information and details here.*
Please indicate the number of copies of the proclamation you are requesting with five (5) being the maximum.*
For questions please contact Tara Ambrose, Mayor and Council Assistant at (512) 218.5410
Should be Empty:

City of Round Rock