Flag Raising Event Reservation Form
*Complete form and submit to the City Clerk’s Office*
Event Details (to be filled out by the requester please fill all information)
Mayor’s Invitation (to be filled out by the Mayor’s Office)
City Clerk’s Office (to be filled out by the City Clerk’s Office)
City Clerk’s Staff Member Requesting:
Request has Been: Approved Denied Date:
__________________
Notification: City Hall Custodians
Date of Request:
___________________ Approved By (Dept. Head): ________________________
Date of Event:
Time of
Event:
Number of
Participants:
Event, Email & Phone
YES NO
Amount of time Mayor will speak
Topic of Speech:
Proclamation OR Citation:
YES NO
Press Present:
YES NO
Elected Officials Present:
Name of Person from the Mayor’s Office
who will cover in the Mayor’s absence:
Person from the City of Bridgeport that will
be at the event before the Mayor to Greet
the Person (s):