Photo-Op Request Form **Every effort will be made to accommodate your date, time and location request.** Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Time Requested If First Name *Last Name *Mobile Number *Email Address *Proposed Date *Please use MM/DD/YYYY format only.Is this date flexible? *YesNoRequested Time *Requested Time (Continued) *AMPMIs this time flexible? *YesNoLocation *Mayor’s OfficeOtherIf other, provide location address below.Location AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOccasion for Photo Op *Is this photo associated with a proclamation? *YesNoIf yes, has the proclamation request been submitted? *YesNo (Must be submitted prior to the scheduling of the photo opportunity.)Additional InformationSubmit If you have not submitted a proclamations request form, submit one here: Proclamations Request Form. (Your request will go through an approval process, and the Mayor has the discretion to decline or approve any photo-op.)
