Special Event Reservation�., City of Port Orchard
City Clerk's Office
216 Prospect Street, Port Orchard, WA 98366
(360) 876-4407 • FAX (360) 895-9029 • cityhall@cityofportorchard.us
www.cityofportorchard.us
Special Event Reservation Form
This form is to reserve your proposed Special Event date only. It provides no guarantee that your Special Event will
be approved. Reservations will only be made for the immediate year's events if notice is given by February 1St
Name of Organization:
Name of Event:
Location of Event:
Contact Name:
Contact's Email:
Beginning Date of Event :
Contact Phone #:
Today's date:
End Date of Event:
1 have read the contents of this document, and 1 understand and agree that this form is
for the reservation of a date for my proposed Special Event only, and that there is no
guarantee that my Special Event application will be approved.
Signed by:
Representing:
The information on this form is considered a public record and is subject to
public disclosure lawn in Chapter 42.56 RCW.
(President/Chair Signature Only)
(Organization Name)
Date: