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 Email Address*
example@example.com
Contact Phone Number*

Area CodePhone Number
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
Who will be present to accept the proclamation?
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
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
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City of Round Rock