***Please note that this request form is for State business only***

Contact Information

Event Information

Day of, at event, preferably cell phone
If yes, please continue with the following questions. If no, please skip to the miscellaneous section below.


Please include any necessary permit or reserved space.
Who will attend and expected size?
If so, who?
Please check the box if yes, leave blank for no.

Please fill out as much information as possible and return to rep.barca@legis.wisconsin.gov or call 608.226.5504 if you have any questions.