Form Center

2. To request the Clerk of Court to attend and/or speak at your event, please complete the information below. Completion of this form does not confirm the attendance of the Clerk at your event. A staff person will contact you to advise of their availability. For questions regarding a request, please contact the Clerk of Court Office at 757-926-8359.

4. Name of Event*
6. Date of Event*
   Date of Event
8. Start and End Time of Event*
   Start and End Time of Event Start Time

   —

   Start and End Time of Event End Time
10. Required Arrival Time*
    Required Arrival Time
12. Address of Event*
14. Name of Host Organization or Group
16. Name - Event Point of Contact*
18. Phone Number - Event Point of Contact*
20. Email - Event Point of Contact*
22. Approximate Number of Attendees
24. Requesting a Public Speech from Clerk?*

    1. yes
    2. no
26. Type of Public Speech
28. Speech Topic & Details
30. Length of Speech
32. Speech Start Time
    Speech Start Time
34. Parking and Seating Provided for Clerk & Staff?

    1. yes
    2. no
36. Will the event be televised, recorded or photographed?

    1. yes
    2. no
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field