District 3 Event Request Form

This is the official request form for Councilwoman Shameka Parrish-Wright's Office (District 3).

Please fill out this form at least two weeks prior to your event.

Please be advised that submitting an event request does not guarantee approval or reservation of your requested date. All event requests are subject to availability and approval from the District 3 Team. Upon receiving your request, we will review the details and contact you to discuss next steps.

Please list name of the person filling out this form

First NameLast Name

Please include your email address if there are any additional questions

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

What type of event are you hosting?

Please fill in the date of your event

How many attendees will be attending your event? Best guess if you don't have a set number

Please indicate the event START TIME

Hour Minutes

AM/PM Option

Please indicate the event END TIME

Hour Minutes

AM/PM Option

What's the specific time and duration you would like to Councilwoman or staff to attend?

What would you like the Councilwoman to do at your event?

Can the District 3 Office provide general district materials to guests?

Would you like the District 3 Office to help publicize your event?

If YES, please attach a flyer or information here

Please include a brief description and purpose of your event

Day of Event Contact Name

Please list the best contact person for this event. This would include a point of contact for the day of event activities. Thank you!

Name

First NameLast Name

Email

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Please verify that you are human