2. What are you requesting?*
   -- Select One --Proclamation or GreetingWedding Reservation
4. Full Name*
5. Email Address*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Fax Number
16. Date for Wedding Ceremony*
    Date for Wedding Ceremony

    Please note that weddings are conducted only on the second and fourth Friday of each month  11 a.m. - 1 p.m.

20. Individuals to be Married:
22. First Name*
23. Last Name*
25. First Name*
26. Last Name*
28. Please read and check ALL boxes before submitting:*

    Weddings are held in the City Commission Chambers at City Hall (101 W. Third Street). A fee of $50 is required for any wedding ceremonies performed by the Mayor's Office. Wedding fees must be paid by a credit card, cash, certified check or money order made payable to the City of Dayton a week in advance in order to secure the reservation.

    You must bring your original marriage license and have two witnesses present at the ceremony. If you do not have two witnesses, we can provide them.

    1. I have read and understand the requirements regarding weddings with the Mayor's Office.
    2. I agree to pay $50 a week in advance and that this will secure my reservation with the Mayor's Office.
    3. I have read and understand that I must bring my original marriage license and have two witnesses present at the ceremony.
30. Type of Request*

    1. Proclamation
    2. Greeting
32. Name of Event*
34. Location of Event*
36. Date and Start Time of Event*
    Date and Start Time of Event

    Date and Start Time of Event
38. Date Requested By:*
    Date Requested By:

    When is your deadline to have the proclamation or greeting in-hand?

40. Are you requesting the Mayor or a member of the Commission to present the proclamation/greeting?*

    1. Yes
    2. No
42. Time Mayor or Commissioner Should Arrive
    Time Mayor or Commissioner Should Arrive

    Approximately what time should the Mayor or a member of the Commission arrive to present the proclamation/greeting?

44. Remarks*

    Please provide the exact language you want included in the Proclamation or Greeting. Refer to this sample document for assistance.

46. Please attach any supporting documents (event flyer, program, or schedule):
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field