2. Note: This Form is For Town Hall ONLY
4. Name of Event*
6. Sponsoring City Department*
8. Name of Contact Person*
10. Contact Person's Phone Number*
12. Contact Person's Email Address*
14. Date/Time Event will Begin*
    Date/Time Event will Begin

    Date/Time Event will Begin
16. Date Time Event will End*
    Date Time Event will End

    Date Time Event will End
18. Normal Town Hall Hours Are:
    Mon - Thurs: 6:45 AM - 9:00 PM; Fri: 6:45 AM - 6:00 PM; Sat: 10:00 AM - 6:00 PM; Sun: Closed
20. Do you require a change in normal Town Hall operating hours?*

    1. Yes
    2. No

    If yes, elaborate below in the additional comments section.
22. Do you require a Town Hall Security Guard?*

    1. Yes
    2. No

    If an off-duty police officer is not present, a Town Hall Security Guard is REQUIRED.
24. Additional Comments Regarding Event Details
26. For security questions, please contact Captain Delaney Green at (817) 748-8134
28. For facility questions, please contact Kurt Ackermann @817-748-8102.
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field