Meeting or Event Request for Mayor or City Council

2. The City of Southlake is pleased to accept requests for meetings and event appearances on behalf of the Mayor and City Council. We appreciate your interest, and we will do our best to process and respond to your request as quickly as possible. <br> <br> Please fill out the form below to make your request. Note that all requests are subject to availability. <br> <br><b> If you need assistance with this form, please contact the City Secretary's Office at 817-748-8183.

   The City of Southlake is pleased to accept requests for meetings and event appearances on behalf of the Mayor and City Council. We appreciate your interest, and we will do our best to process and respond to your request as quickly as possible.
   
   Please fill out the form below to make your request. Note that all requests are subject to availability.
   
   If you need assistance with this form, please contact the City Secretary's Office at 817-748-8183.

4. Type of Request

   1. Meeting
   2. Event

   Please let us know if you are requesting a meeting with a Council member or their presence at an event

6. Contact Name*

8. Email Address:*

10. Name of Organization

11. Organization Address

13. Mobile Phone:*

14. Alternate Phone:

16. City

17. State

18. Zip

20. Councilmembers Requested*

    1. Mayor Laura Hill
    2. Mayor Pro Tem Randy Williamson
    3. Deputy Mayor Pro Tem Shawn McCaskill
    4. Councilmember Shahid Shafi
    5. Councilmember Chad Patton
    6. Councilmember John Huffman
    7. Councilmember Christopher Archer
    8. All

22. Meeting Request Information

24. Meeting Date Requested *

25. Meeting Deadline?

27. Meeting Purpose

28. Development Name (if applicable)

30. Development Location (if applicable)

31. Other Information

33. Event Request Information

35. Mayor/Councilmember Role - Event

    1. Attend Only
    2. Bring Greeting / Welcome Address
    3. General Brief Remarks
    4. Keynote Address / Speaker
    5. Master of Ceremony
    6. Social Event / Meet & Greet
    7. Being Honored or Rewarded with Acceptance Speech
    8. Being Honored or Rewarded without Acceptance Speech
    9. Walkthrough / Tour
    10. Planting / Digging / Ribbon-Cutting /Grand Opening

37. Name of Event:

39. Event Address:

41. Event Date*
    Event Date

42. End Date
    End Date

44. Event Spans Multiple Days
45. Event Date is Flexible
46. Event is*

    1. Indoor
    2. Outdoor

48. Alternate Date
    Alternate Date

    Alternate Date

49. Please provide any additional details about date flexibility.

51. Start Time:*
    Start Time:

52. End Time: *
    End Time:

54. Approximate number of attendees

56. Please provide additional event information, including event background, purpose, expectations, and other requests.

58. If you have additional information that you would like to include that will not fit within the confines of this form, please upload it here.

Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit