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Request the Mayor at an Event

  1. Important Instructions

    While completing your request, please be as comprehensive, detailed and specific as possible in your responses to questions included on the form. An acknowledgement of your request will be provided to you by email within approximately two weeks after the date of submission. We respectfully request that you do not use Mayor Clarke's name on any public relations material (notifications, invitations or agendas) until you have received written approval from the Waukee City Clerk.

  2. Event Overview

  3. Flexible Date*

    If your requested event date is flexible, please enter your preferred date above and select "Yes" so we may suggest alternative dates if available.

  4. Event Logistics

  5. Organization and Contact Details

  6. Event Details

  7. Is the Mayor receiving an award?*

  8. Leave This Blank:

  9. This field is not part of the form submission.