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Town Council Ceremonial Request Form

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Town Ceremonial Event Request Form

Please correct the fields below:

Guidelines & Conditions

  • Any ceremonial item to be presented during a Town Council meeting must be approved and scheduled in advance. Requests must be made at least 30 days prior to the requested Town Council Meeting. 
  • In order for a ceremonial item to be considered, the following form must be completed in its entirety.
  • Queen Creek Town Council will make the final decision on whether a ceremonial item is issued and reserves the right to decline any ceremonial item without further detail. 
  • Upon approval, Town Council staff would assign an upcoming Town Council meeting for the ceremonial and will coordinate on meeting details. 
  • Ceremonial items will be recognized during the Regular Session of a Queen Creek Town Council meeting. Meetings will begin at 6:30 p.m. and are held in the Queen Creek Community Chambers, 20727 Civic Pkwy, Queen Creek, AZ 85142. 

Requester Information

1
Contact Name 
 *
2
Contact Title & Organization (if applicable)
 *
3
Contact Phone 
 *
4
Contact Email 
 *

Recognition Details

5

Organization Information 

Which organization/group/individual would be recognized through this ceremonial item? 

6

Background Information 

Please provide background information on the requested recognition. What would Town Council be recognizing as part of this ceremonial item? 

7

Attendance Information

Please include a list of individuals who would be recognized as part of this ceremonial item.

8

Special Requests 

Please include any type of special requests. 

9

Attach File(s) 

Please attach logos, awards, speaking points, or any applicable materials. 

  1. To receive a copy of your submission, please fill out your email address below and submit.

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